NPIMap

Organization Active NPI

Top Wellness Center Corp

  • Clinic/Center
  • Tampa, FL
National Provider Identifier
1164966701
Registry record updated Dec 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
10691 Issued in FL
Legal business name
TOP WELLNESS CENTER CORP
Practice address
610 W Waters Ave Ste J
Tampa, FL 33604-2951
Phone
(813) 999-8034
NPI assigned
Dec 16, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2016

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

Authorized official

Name
Yudany De Las Casas Dorta
Title
President
Phone
(813) 999-8034

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 10691 FL Primary

Addresses

Primary practice location

610 W Waters Ave Ste J
Tampa, FL 33604-2951

Mailing address

610 W Waters Ave Ste J
Tampa, FL 33604-2951
Phone (813) 999-8034

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1481846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481846400000",
    "number": "1164966701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 W WATERS AVE STE J",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336042951",
            "telephone_number": "813-999-8034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 W WATERS AVE STE J",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336042951",
            "telephone_number": "813-999-8034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOP WELLNESS CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-16",
        "last_updated": "2016-12-16",
        "status": "A",
        "authorized_official_last_name": "DE LAS CASAS DORTA",
        "authorized_official_first_name": "YUDANY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-999-8034"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "10691",
            "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 Dec 16, 2016; 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.