Tampa Trauma Medical Center

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

HCC6118 Issued in FL

Legal business name

TAMPA TRAUMA MEDICAL CENTER

Practice address

4602 N Armenia Ave
Suite D1
Tampa, FL 33603-2626

Phone

(813) 870-1900

Fax

(813) 870-1988

NPI assigned

Feb 1, 2007

Organization subpart

No

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

Authorized official

Name

Luis M Azan, M.D.

Title

Medical Director

Phone

(813) 870-1900

Specialties & licenses 1

Addresses

Other names 1

• TAMPA TRAUMA MEDICAL CENTER Former legal business name

Locations

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063550481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4602 N ARMENIA AVE",
            "address_2": "SUITE D1",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336032626",
            "telephone_number": "813-870-1900",
            "fax_number": "813-870-1988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4602 N ARMENIA AVE",
            "address_2": "SUITE D1",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336032626",
            "telephone_number": "813-870-1900",
            "fax_number": "813-870-1988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMPA TRAUMA MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AZAN",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "813-870-1900",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "HCC6118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TAMPA TRAUMA MEDICAL CENTER",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Tampa Trauma Therapy
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• Tampa Vamc
• Tampa Vamc
• Tampa Vamc

• 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 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.