Organization Active NPI

Memorial Medical Center Inc

  • Behavior Analyst
  • Tampa, FL
National Provider Identifier
1285392985
Registry record updated Nov 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
MEMORIAL MEDICAL CENTER INC
Practice address
8001 N Dale Mabry Hwy Ste 501
Tampa, FL 33614-3265
Phone
(813) 915-5329
Fax
(813) 915-5236
NPI assigned
Nov 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2021

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

Authorized official

Name
Mavys Huice
Title
Owner
Phone
(813) 605-4725

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

8001 N Dale Mabry Hwy Ste 501
Tampa, FL 33614-3265

Mailing address

8001 N Dale Mabry Hwy Ste 501
Tampa, FL 33614-3265
Phone (813) 915-5329

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1638230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638230400000",
    "number": "1285392985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8001 N DALE MABRY HWY STE 501",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336143265",
            "telephone_number": "813-915-5329",
            "fax_number": "813-915-5236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 N DALE MABRY HWY STE 501",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336143265",
            "telephone_number": "813-915-5329",
            "fax_number": "813-915-5236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-30",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A",
        "authorized_official_last_name": "HUICE",
        "authorized_official_first_name": "MAVYS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-605-4725"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "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 Nov 30, 2021; 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.