NPIMap

Organization Active NPI

MPN Medical Center Carrollwood

  • Primary Care Clinic/Center
  • Tampa, FL
National Provider Identifier
1164833984
Registry record updated May 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
MPN MEDICAL CENTER CARROLLWOOD
Practice address
7001 N Dale Mabry Hwy
Suite a
Tampa, FL 33614-3910
Phone
(813) 932-2848
Fax
(813) 932-7551
NPI assigned
May 14, 2014
Last updated
May 14, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2014

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

Authorized official

Name
Mr. Herbert B Minor
Title
Ceo
Phone
(813) 388-2945

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

7001 N Dale Mabry Hwy
Suite a
Tampa, FL 33614-3910

Mailing address

2607 Windguard Cir Ste 101
Wesley Chapel, FL 33544-7352
Phone (813) 388-2945

National Provider Directory

National Provider Directory

Locations

2607 Windguard Cir
Ste 101
Wesley Chapel, FL 33544
Phone (813) 388-6889

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1400025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400025600000",
    "number": "1164833984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2607 WINDGUARD CIR STE 101",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335447352",
            "telephone_number": "813-388-2945",
            "fax_number": "813-333-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7001 N DALE MABRY HWY",
            "address_2": "SUITE A",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336143910",
            "telephone_number": "813-932-2848",
            "fax_number": "813-932-7551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MPN MEDICAL CENTER CARROLLWOOD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-14",
        "last_updated": "2014-05-14",
        "status": "A",
        "authorized_official_last_name": "MINOR",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "813-388-2945",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "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 May 14, 2014; 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.