OrganizationActive
Carrollwood Medical Group, LLC.
NPI 1982150348 · Clinic/Center · Tampa, FL
Provider details
- NPI number
- 1982150348
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Antonio Calvo, Coo(813) 888-8215
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
10213 Lake Carroll Way Ste B
Tampa, FL 33618-4402
Phone: (813) 888-8215
Fax: (813) 885-5398
Street-level locationGet directions
Mailing address
5901 Webb Rd
Tampa, FL 33615-3219
Other names (DBA / former)
- Doing business as
- Revello Medical Center
Registry dates
- Enumerated
- 2016-08-26
- Last updated
- 2025-02-10
- Certified
- 2025-02-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.