OrganizationActive
Ketamine123llc
NPI 1265195812 · Multi-Specialty Clinic/Center · Tampa, FL
Ketamine123llc is a Multi-Specialty Clinic/Center organization in Tampa, FL (NPI 1265195812).
Provider details
- NPI number
- 1265195812
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Clint Fletcher, Owner(615) 300-3096
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
3450 E Fletcher Ave Ste 300
Tampa, FL 33613-4659
Phone: (813) 632-3223
Fax: (813) 632-3224
Street-level locationGet directions
Mailing address
3450 E Fletcher Ave Ste 300
Tampa, FL 33613-4659
Other names (DBA / former)
- Doing business as
- Ketamine Solutions of Tampa
- Doing business as
- Ketamine Solutions of Tampa
Registry dates
- Enumerated
- 2021-10-20
- Last updated
- 2021-11-10
- Certified
- 2021-11-10
Frequently asked questions
- What is Ketamine123llc's NPI number?
- Ketamine123llc's National Provider Identifier (NPI) is 1265195812, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ketamine123llc?
- Ketamine123llc is classified in the NPPES registry as Multi-Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Ketamine123llc located?
- Ketamine123llc's practice location on file with NPPES is 3450 E Fletcher Ave Ste 300, Tampa, FL 33613-4659.
- What is Ketamine123llc's phone number?
- The practice phone number listed in the NPPES registry for Ketamine123llc is (813) 632-3223.
- Who is the authorized official for Ketamine123llc?
- The authorized official listed on Ketamine123llc's NPPES record is Clint Fletcher, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ketamine123llc's NPI active?
- Yes — Ketamine123llc's NPI (1265195812) is active in the NPPES registry as of the last update on 2021-11-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.