Tampa Bay Total Wellness

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Legal business name

TAMPA BAY TOTAL WELLNESS

Practice address

300 S. Hyde Park Avenue Suite 210
Tampa, FL 33606

Phone

(813) 609-4150

Fax

(813) 441-8122

NPI assigned

Feb 23, 2022

Organization subpart

No

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

Authorized official

Name

Teresa Ann Oberbroeckling, PA-C

Title

Co-Owner/Provider

Phone

(937) 609-1798

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1645574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645574400000",
    "number": "1184370751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S. HYDE PARK AVENUE SUITE 210",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33606",
            "telephone_number": "813-609-4150",
            "fax_number": "813-441-8122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S. HYDE PARK AVENUE SUITE 210",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33606",
            "telephone_number": "813-609-4150",
            "fax_number": "813-441-8122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMPA BAY TOTAL WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-23",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A",
        "authorized_official_last_name": "OBERBROECKLING",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CO-OWNER/PROVIDER",
        "authorized_official_telephone_number": "937-609-1798",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tampa Bay Surgical Group LLP
• Tampa Bay Surgical Group, LLP
• Tampa Bay Therapy and Training Services, LLC
• Tampa Bay Therapy Care Inc
• Tampa Bay Therapy Centers
• Tampa Bay Urology Institute PA
• Tampa Behavior Health
• Tampa Behavioral Hospital LLC
• Tampa Cardiovascular Institute
• Tampa Cardiovascular Interventions and Research

• Medical Physician Assistant in Tampa, FL
• Providers in Tampa, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.