OrganizationActive
Covenant Medical Clinic
NPI 1528380748 · General Practice Physician · Tampa, FL
Covenant Medical Clinic is a General Practice Physician organization in Tampa, FL (NPI 1528380748).
Provider details
- NPI number
- 1528380748
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mobolanle Fadare, Owner(813) 874-0850
- License
- 126336 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
2812 W Dr Martin Luther King Jr Blvd
Suite 2
Tampa, FL 33607-6306
Phone: (813) 874-0850
Fax: (813) 874-0590
Street-level locationGet directions
Mailing address
2812 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6306
Registry dates
- Enumerated
- 2010-02-16
- Last updated
- 2010-02-16
Frequently asked questions
- What is Covenant Medical Clinic's NPI number?
- Covenant Medical Clinic's National Provider Identifier (NPI) is 1528380748, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Covenant Medical Clinic?
- Covenant Medical Clinic is classified in the NPPES registry as General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is Covenant Medical Clinic located?
- Covenant Medical Clinic's practice location on file with NPPES is 2812 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6306.
- What is Covenant Medical Clinic's phone number?
- The practice phone number listed in the NPPES registry for Covenant Medical Clinic is (813) 874-0850.
- Who is the authorized official for Covenant Medical Clinic?
- The authorized official listed on Covenant Medical Clinic's NPPES record is Mobolanle Fadare, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Covenant Medical Clinic's NPI active?
- Yes — Covenant Medical Clinic's NPI (1528380748) is active in the NPPES registry as of the last update on 2010-02-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.