DIVINE MEDICAL CENTER, INC
NPI 1275348526
Clinic/Center in Tampa, FL

NPI Status: Active since February 12, 2025

Contact Information

6107 MEMORIAL HWY STE B
TAMPA, FL
ZIP 33615
Phone: (813) 810-8650

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  • Organization
  • Clinic/Center

About DIVINE MEDICAL CENTER, INC

This page provides the complete NPI Profile along with additional information for Divine Medical Center, Inc, a provider established in Tampa, Florida operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1275348526 assigned on February 2025. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Gelys Gongora Aprn (President)

NPI
1275348526
Provider Name
DIVINE MEDICAL CENTER, INC
Entity Type
Organization
Location Address
6107 MEMORIAL HWY STE B TAMPA, FL 33615
Location Phone
(813) 810-8650
Mailing Address
6107 MEMORIAL HWY STE B TAMPA, FL 33615
Mailing Phone
(813) 810-8650
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-12-2025
Last Update Date
02-12-2025
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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

GELYS GONGORA APRN

Authorized Official Title
PRESIDENT
Authorized Official Phone
(813) 810-8650

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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.
1275348526
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22145641654
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 4 + 5 + 6 + 4 + 1 + 6 + 5 + 4 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1275348526 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1568215366 JULIO CESAR CORDOVI FNP-C
Individual
Nurse Practitioner (Family)6107 MEMORIAL HWY STE B
TAMPA, FL 33615
(813) 890-3400
1801066071DIVINE HOME HEALTH CARE, INC
Organization
Home Health6107 MEMORIAL HWY STE B
TAMPA, FL 33615
(813) 890-3400

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275348526, enumerated in the NPI registry as an "organization" on February 12, 2025

The provider is located at 6107 Memorial Hwy Ste B Tampa, Fl 33615 and the phone number is (813) 810-8650

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

This NPI record was last updated on February 12, 2025. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.