Organization Active NPI

Hemwell LLC

Doing business as HemWell South Tampa

  • Medical Specialty Clinic/Center
  • Tampa, FL
National Provider Identifier
1023479193
Registry record updated Mar 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
HEMWELL LLC
Doing business as
HemWell South Tampa
Practice address
2919 W Swann Ave
Ste 106
Tampa, FL 33609-4038
Phone
(855) 697-9355
Fax
(866) 435-4017
NPI assigned
Mar 16, 2016
Last updated
Mar 16, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
HEMWELL LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 16, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Rob Sulzer
Title
Coo
Phone
(855) 697-9355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X NU Primary

Addresses

Primary practice location

2919 W Swann Ave
Ste 106
Tampa, FL 33609-4038

Mailing address

4809 N Armenia Ave
Ste 230
Tampa, FL 33603-1447
Phone (855) 697-9355

Other identifiers 1

IdentifierTypeStateIssuer
0095XOtherFLFL BLUE

Other names 1

  • HemWell South Tampa Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Hemwell LLC2 organizations share this tax ID, including this one
Part of
Hemwell LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4809 N Armenia Ave
Ste 230
Tampa, FL 33603
Phone (813) 442-6015

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1458086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458086400000",
    "number": "1023479193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4809 N ARMENIA AVE",
            "address_2": "STE 230",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336031447",
            "telephone_number": "855-697-9355",
            "fax_number": "866-435-4017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2919 W SWANN AVE",
            "address_2": "STE 106",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094038",
            "telephone_number": "855-697-9355",
            "fax_number": "866-435-4017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEMWELL LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEMWELL LLC",
        "enumeration_date": "2016-03-16",
        "last_updated": "2016-03-16",
        "status": "A",
        "authorized_official_last_name": "SULZER",
        "authorized_official_first_name": "ROB",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "855-697-9355"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL BLUE",
            "identifier": "0095X",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HemWell South Tampa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.