Active NPI
Healthy Bodies Medical Center
- Clinic/Center
- Brandon, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- OS11874
- Legal business name
- HEALTHY BODIES MEDICAL CENTER
- Practice address
- 3415 Brook Crossing Dr
Brandon, FL 33511-8181 - Phone
- (813) 540-5005
- NPI assigned
- Feb 25, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Watson Ducatel, D.O.
- Title
- Physician
- Phone
- (813) 540-5005
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | OS11874 | FL | Primary |
Addresses
Primary practice location
3415 Brook Crossing Dr
Brandon, FL 33511-8181
Mailing address
PO Box 484
Thonotosassa, FL 33592-0484
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2232810 | Healthy Bodies Medical Center, LLC | Certificate of waiver | Aug 17, 2027 |
National Provider Directory
National Provider DirectoryLocations
3415 Brook Crossing Dr
Brandon, FL 33511
Phone (813) 540-5005
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Brandon, FL
- NPI 1811277577
-
- General Practice Dentistry
- Brandon, FL
- NPI 1871804203
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487980800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1487980800000",
"number": "1265972103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 484",
"city": "THONOTOSASSA",
"state": "FL",
"postal_code": "335920484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3415 BROOK CROSSING DR",
"city": "BRANDON",
"state": "FL",
"postal_code": "335118181",
"telephone_number": "813-540-5005"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTHY BODIES MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2017-02-25",
"last_updated": "2017-02-25",
"status": "A",
"authorized_official_last_name": "DUCATEL",
"authorized_official_first_name": "WATSON",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "813-540-5005",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "FL",
"license": "OS11874",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brandon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.