Doctors Diet Program of South Floridapllc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

DOCTORS DIET PROGRAM OF SOUTH FLORIDAPLLC

Practice address

3345 S Dale Mabry Hwy
Tampa, FL 33629-7817

Phone

(813) 839-3438

NPI assigned

Jan 25, 2018

Organization subpart

No

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

Authorized official

Name

James Lowrance

Title

Administrator

Phone

(813) 839-3438

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Doctors Diet Program of South Floridapllc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Doctors Diet Program of South Florida PLLC

  • Clinic Pharmacy
  • Plant City, FL
  • NPI 1114579158
  NPD tax ID
• Doctors Diet Program of South Florida PLLC

  • Clinic Pharmacy
  • Wesley Chapel, FL
  • NPI 1568014678
  NPD tax ID

Locations

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

{
    "created_epoch": "1516838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516838400000",
    "number": "1043718034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3345 S DALE MABRY HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336297817",
            "telephone_number": "813-839-3438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3345 S DALE MABRY HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336297817",
            "telephone_number": "813-839-3438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS DIET PROGRAM OF SOUTH FLORIDAPLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-25",
        "last_updated": "2018-01-25",
        "status": "A",
        "authorized_official_last_name": "LOWRANCE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "813-839-3438"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LIC",
            "identifier": "L652453703740",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kervin Doctor, M.D.
• Monica Doctor, M.D.
• Rebecca Jean Doctor, BA
• Doctor'S Choice Homehealth, LLC
• Doctors Comprehensive Spine Center Inc
• Doctors Family Medical Center Inc.
• Doctors Imaging LLC
• Doctors Ipa
• Doctors Medical Clinics of Tampa, LLC
• Doctors Pain Management Group Inc

• Clinic/Center in Tampa, FL
• Providers in Tampa, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2018; 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.