Waters Edge Medical Clinic Tampa LLC
NPI 1265054803 · Multi-Specialty Clinic/Center · St Petersburg, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Waters Edge Medical Clinic Tampa LLC is a Multi-Specialty Clinic/Center organization in St Petersburg, FL (NPI 1265054803).
Provider details
- NPI number
- 1265054803
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Vida Vodopalas-Puodziunas, Owner(815) 603-9683
Specialties & taxonomies
Ambulatory Health Care Facilities
- Primary Care Clinic/Center261QP2300X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-05-16
- Last updated
- 2023-08-23
- Certified
- 2023-08-23
Frequently asked questions
- What is Waters Edge Medical Clinic Tampa LLC's NPI number?
- Waters Edge Medical Clinic Tampa LLC's National Provider Identifier (NPI) is 1265054803, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Waters Edge Medical Clinic Tampa LLC?
- Waters Edge Medical Clinic Tampa LLC is classified in the NPPES registry as Multi-Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Waters Edge Medical Clinic Tampa LLC located?
- Waters Edge Medical Clinic Tampa LLC's practice location on file with NPPES is 1700 66th St N Ste 304, St Petersburg, FL 33710-5500.
- What is Waters Edge Medical Clinic Tampa LLC's phone number?
- The practice phone number listed in the NPPES registry for Waters Edge Medical Clinic Tampa LLC is (727) 550-0855.
- Does Waters Edge Medical Clinic Tampa LLC accept Medicare?
- Waters Edge Medical Clinic Tampa LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Waters Edge Medical Clinic Tampa LLC?
- The authorized official listed on Waters Edge Medical Clinic Tampa LLC's NPPES record is Vida Vodopalas-Puodziunas, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Waters Edge Medical Clinic Tampa LLC's NPI active?
- Yes — Waters Edge Medical Clinic Tampa LLC's NPI (1265054803) is active in the NPPES registry as of the last update on 2023-08-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.