Organization Active NPI

Robert R. Tawil

  • Dermatology Physician
  • Tampa, FL
National Provider Identifier
1053702134
Registry record updated Feb 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
ROBERT R. TAWIL
Practice address
3741 W Neptune St
Tampa, FL 33629-5118
Phone
(813) 254-4262
Fax
(813) 251-6415
NPI assigned
Feb 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2015

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

Authorized official

Name
Teresa Lynn Jackson
Title
Receptionist
Phone
(813) 254-4262

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

3741 W Neptune St
Tampa, FL 33629-5118

Mailing address

3741 W Neptune St
Tampa, FL 33629-5118
Phone (813) 254-4262

Other identifiers 2

IdentifierTypeStateIssuer
070001775OtherFLRAILROAD MEDICARE
30919OtherFLBC/BS

National Provider Directory

National Provider Directory

Locations

3741 W Neptune St
Tampa, FL 33629
Phone (813) 254-4262

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1423612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423612800000",
    "number": "1053702134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3741 W NEPTUNE ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336295118",
            "telephone_number": "813-254-4262",
            "fax_number": "813-251-6415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3741 W NEPTUNE ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336295118",
            "telephone_number": "813-254-4262",
            "fax_number": "813-251-6415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT R. TAWIL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-11",
        "last_updated": "2015-02-11",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "RECEPTIONIST",
        "authorized_official_telephone_number": "813-254-4262"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "070001775",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "30919",
            "state": "FL"
        }
    ],
    "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 Feb 11, 2015; 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.