Avita Medical Clinic LLC
NPI 1992302574 · General Practice Physician · Tampa, FL
Avita Medical Clinic LLC is a General Practice Physician organization in Tampa, FL (NPI 1992302574).
Provider details
- NPI number
- 1992302574
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jenny Segarra, President(813) 330-2737
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Physical Therapist225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Occupational Therapist225X00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
Additional practice locations (1)
- 14839 N Florida AveTampa, FL 33613-1825Phone: (813) 330-2737Fax: (813) 210-9205
Registry dates
- Enumerated
- 2020-10-06
- Last updated
- 2021-09-02
- Certified
- 2021-09-02
Frequently asked questions
- What is Avita Medical Clinic LLC's NPI number?
- Avita Medical Clinic LLC's National Provider Identifier (NPI) is 1992302574, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Avita Medical Clinic LLC?
- Avita Medical Clinic LLC is classified in the NPPES registry as General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is Avita Medical Clinic LLC located?
- Avita Medical Clinic LLC's practice location on file with NPPES is 14831 N Florida Ave, Tampa, FL 33613-1825.
- What is Avita Medical Clinic LLC's phone number?
- The practice phone number listed in the NPPES registry for Avita Medical Clinic LLC is (813) 330-2737.
- Who is the authorized official for Avita Medical Clinic LLC?
- The authorized official listed on Avita Medical Clinic LLC's NPPES record is Jenny Segarra, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Avita Medical Clinic LLC's NPI active?
- Yes — Avita Medical Clinic LLC's NPI (1992302574) is active in the NPPES registry as of the last update on 2021-09-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.