Active NPI
Hemwell LLC
Doing business as HemWell South Tampa
- Medical Specialty Clinic/Center
- Tampa, FL
National Provider Identifier
1023479193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- 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, 2016
- Organization subpart
- Yes
- Parent organization
- HEMWELL LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0095X | Other | FL | FL BLUE |
Other names 1
- HemWell South Tampa
National Provider Directory
National Provider Directory- Tax ID family
- Hemwell LLC
- Part of
- Hemwell LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ambulatory Surgical Clinic/Center
- Tampa, FL
- NPI 1003270141
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.