Epilepsy Services of West Central Florida

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

EPILEPSY SERVICES OF WEST CENTRAL FLORIDA

Practice address

4618 N Armenia Ave
Tampa, FL 33603-2706

Phone

(813) 870-3414

Fax

(831) 870-1321

NPI assigned

Apr 20, 2010

Last updated

Apr 20, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Dan Grant

Title

Executive Director

Phone

(813) 870-3414

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1271721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271721600000",
    "number": "1235455999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4618 N ARMENIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336032706",
            "telephone_number": "813-870-3414",
            "fax_number": "831-870-1321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4618 N ARMENIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336032706",
            "telephone_number": "813-870-3414",
            "fax_number": "831-870-1321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPILEPSY SERVICES OF WEST CENTRAL FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-20",
        "last_updated": "2010-04-20",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "813-870-3414",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counselor in Tampa, FL
• Providers in Tampa, FL by specialty
• Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2010; 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.