Healthcare Provider Details
I. General information
NPI: 1114484813
Provider Name (Legal Business Name): BEST MEDICAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/28/2019
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4730 N HABANA AVE STE 204
TAMPA FL
33614-7148
US
IV. Provider business mailing address
4730 N HABANA AVE STE 204
TAMPA FL
33614-7148
US
V. Phone/Fax
- Phone: 786-715-8147
- Fax:
- Phone: 813-605-7778
- Fax: 813-438-7860
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208M00000X |
| Taxonomy | Hospitalist Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
RAIDEL
VALDES-CRESPO
Title or Position: OWNER
Credential: MD
Phone: 813-605-7778