NPIMap

Organization Active NPI

Uga Street, Inc

Doing business as Uga Street Clinic

  • Clinic/Center
  • Tampa, FL
National Provider Identifier
1316205123
Registry record updated Apr 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
HCC009401 Issued in FL
Legal business name
UGA STREET, INC
Doing business as
Uga Street Clinic
Practice address
3302 E. Martin Luther King Jr Blvd. #101
Tampa, FL 33610
Phone
(813) 248-1621
Fax
(813) 248-5408
NPI assigned
Apr 30, 2012
Organization subpart
Yes
Parent organization
UGA STREET, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 30, 2012

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

Authorized official

Name
Christian Nwoye, R.PH,
Title
President/Ceo
Phone
(813) 248-1621

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X HCC009401 FL Primary

Addresses

Primary practice location

3302 E. Martin Luther King Jr Blvd. #101
Tampa, FL 33610

Mailing address

PO Box 310256
Tampa, FL 33680-0256
Phone (813) 248-1621

Other names 1

  • UGA STREET CLINIC Doing business as

National Provider Directory

National Provider Directory
Part of
Uga Street Inc

Locations

3302 E Dr Martin Luther King Jr Blvd
#101
Tampa, FL 33610
Phone (813) 248-1621

NPI Registry JSON

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

{
    "created_epoch": "1335744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335744000000",
    "number": "1316205123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 310256",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336800256",
            "telephone_number": "813-248-1621",
            "fax_number": "813-248-5408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3302 E. MARTIN LUTHER KING JR BLVD. #101",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33610",
            "telephone_number": "813-248-1621",
            "fax_number": "813-248-5408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UGA STREET, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UGA STREET, INC",
        "enumeration_date": "2012-04-30",
        "last_updated": "2012-04-30",
        "status": "A",
        "authorized_official_last_name": "NWOYE",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "813-248-1621",
        "authorized_official_credential": "R.PH,"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "HCC009401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UGA STREET CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 30, 2012; 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.