AFFINITY HEALTH & WELLNESS LLC
NPI 1114602448
Clinic/Center in Tampa, FL

NPI Status: Active since June 15, 2023

Contact Information

13302 WINDING OAK COURT
SUITE A
TAMPA, FL
ZIP 33612
Phone: (813) 580-2268

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  • Organization
  • Clinic/Center
  • CLIA Number: 10D2206683
  • CLIA Cert. Type: Other - RESEARCH CLINIC
  • CLIA Exp. Date: 12-21-2026

About AFFINITY HEALTH & WELLNESS LLC

This page provides the complete NPI Profile along with additional information for Affinity Health & Wellness Llc, a provider established in Tampa, Florida operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1114602448 assigned on June 2023. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Carlos M Mujica Aprn (Owner)

NPI
1114602448
Provider Name
AFFINITY HEALTH & WELLNESS LLC
Entity Type
Organization
Location Address
13302 WINDING OAK COURT SUITE A TAMPA, FL 33612
Location Phone
(813) 580-2268
Mailing Address
13302 WINDING OAK CT STE A TAMPA, FL 33612
Mailing Phone
(813) 580-2268
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-15-2023
Last Update Date
06-20-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CARLOS M MUJICA APRN

Authorized Official Title
OWNER
Authorized Official Phone
(813) 580-2268

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
10D2206683
Facility Type
Other - RESEARCH CLINIC
Certificate Effective Date
December 22, 2024
Certificate Expiration Date
December 21, 2026
Laboratory Director
CARLOS MUJICA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Affinity Health & Wellness Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1114602448
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2124120448
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 2 + 4 + 1 + 2 + 0 + 4 + 4 + 8 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 88

The NPI number 1114602448 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114602448, enumerated in the NPI registry as an "organization" on June 15, 2023

The provider is located at 13302 Winding Oak Court Suite A Tampa, Fl 33612 and the phone number is (813) 580-2268

This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X

The provider's CLIA number is 10D2206683 for a "other - research clinic" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on June 15, 2023. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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