Healthcare Provider Details

I. General information

NPI: 1164351102
Provider Name (Legal Business Name): CARE HEALTH MEDICAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2026
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

Practice location:
  • Phone: 813-452-7954
  • Fax:
Mailing address:
  • Phone: 813-452-7954
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: JOAQUIN RODRIGUEZ
Title or Position: PRESIDENT
Credential:
Phone: 813-452-7954