RAG MEDICAL CLINIC LLC – NPI #1528624053
Internal Medicine

An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.

RAG MEDICAL CLINIC LLC is a provider located in TAMPA, FL. NPPES has assigned the NPI number 1528624053 to RAG MEDICAL CLINIC LLC on May 09, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RA0401X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Addiction Medicine Keep in mind, having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was last updated on Jan 14, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RAG MEDICAL CLINIC LLC below.

NPI Profile for
RAG MEDICAL CLINIC LLC

NPI Number
1528624053
Enumeration Date

(more than 7 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
RAG MEDICAL CLINIC LLC
Primary location
6408 N ARMENIA AVE STE B-1
TAMPA, FL 33604-5770
Phone: (813) 352-8305 Fax:
1 Other location(s):
7519 Paula Dr
Tampa, FL 33615-4113
Phone: (813) 352-8305
Fax: (813) 793-7380
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
RICARDO GOMEZ FERNANDEZ
ADMINISTRATOR
Phone: (813) 352-8305
Updated
Certification Date
Jan 14, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.