Rag Medical Clinic LLC
NPI 1528624053 · Addiction Medicine (Internal Medicine) Physician · Tampa, FL
Provider details
- NPI number
- 1528624053
- Entity type
- Organization
- Primary specialty
- Addiction Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ricardo Gomez Fernandez, Administrator(813) 352-8305
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Multi-Specialty Clinic/Center261QM1300X
Ambulatory Health Care Facilities
- Clinic/Center261Q00000X
Ambulatory Health Care Facilities
- General Practice Physician208D00000X
Allopathic & Osteopathic Physicians
- Primary Care Clinic/Center261QP2300X
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Other names (DBA / former)
- Doing business as
- Phoenix Medical Clinic
Additional practice locations (1)
- 7519 Paula DrTampa, FL 33615-4113Phone: (813) 352-8305Fax: (813) 793-7380
Registry dates
- Enumerated
- 2019-05-09
- Last updated
- 2026-01-14
- Certified
- 2026-01-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.