NPIMap

Organization Active NPI

Doctors Family Medical Center Inc.

  • Clinic/Center
  • Tampa, FL
National Provider Identifier
1043349715
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
DOCTORS FAMILY MEDICAL CENTER INC.
Practice address
5535 Memorial Hwy
Tampa, FL 33634-7370
Phone
(813) 901-0705
Fax
(813) 901-0566
NPI assigned
Mar 5, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Kevin Lamar Green
Title
Director of Credentialing
Phone
(813) 901-0705

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

5535 Memorial Hwy
Tampa, FL 33634-7370

Mailing address

5535 Memorial Hwy
Tampa, FL 33634-7370
Phone (813) 901-0705

National Provider Directory

National Provider Directory
Tax ID family
Doctors Family Medical Center Inc2 organizations share this tax ID, including this one

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043349715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5535 MEMORIAL HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336347370",
            "telephone_number": "813-901-0705",
            "fax_number": "813-901-0566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5535 MEMORIAL HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336347370",
            "telephone_number": "813-901-0705",
            "fax_number": "813-901-0566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS FAMILY MEDICAL CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "LAMAR",
        "authorized_official_title_or_position": "DIRECTOR OF CREDENTIALING",
        "authorized_official_telephone_number": "813-901-0705",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; 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.