Organization Active NPI

Nutrigenomics of Florida, Inc.

  • Clinical Medical Laboratory
  • Tampa, FL
National Provider Identifier
1073766796
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
NUTRIGENOMICS OF FLORIDA, INC.
Practice address
12690 Telecom Dr
Tampa, FL 33637-0935
Phone
(813) 979-6200
NPI assigned
Oct 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Kazuko Curtin, COLLEGE DEGREE
Title
Ceo
Phone
(813) 979-6200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X FL Primary

Addresses

Primary practice location

12690 Telecom Dr
Tampa, FL 33637-0935

Mailing address

12690 Telecom Dr
Tampa, FL 33637-0935
Phone (813) 979-6200

National Provider Directory

National Provider Directory

Locations

12690 Telecom Dr
Temple Terrace, FL 33637
Phone (813) 979-6200

NPI Registry JSON

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

{
    "created_epoch": "1224892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1073766796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12690 TELECOM DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336370935",
            "telephone_number": "813-979-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12690 TELECOM DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336370935",
            "telephone_number": "813-979-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRIGENOMICS OF FLORIDA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-25",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CURTIN",
        "authorized_official_first_name": "KAZUKO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "813-979-6200",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "COLLEGE DEGREE"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "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 Jul 21, 2022; 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.