Healthcare Provider Details
I. General information
NPI: 1306761846
Provider Name (Legal Business Name): CARE HEALTH MEDICAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2810 W SAINT ISABEL ST STE 100A
TAMPA FL
33607-6375
US
IV. Provider business mailing address
2810 W SAINT ISABEL ST STE 100A
TAMPA FL
33607-6375
US
V. Phone/Fax
- Phone: 813-879-0000
- Fax: 813-876-0777
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208D00000X |
| Taxonomy | General Practice Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JOAQUIN
RODRIGUEZ
Title or Position: OWNER
Credential:
Phone: 813-638-5331