Organization Active NPI

Dolphin Medical Rehab Inc

  • Clinic/Center
  • Tampa, FL
National Provider Identifier
1346086600
Registry record updated Jul 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
DOLPHIN MEDICAL REHAB INC
Practice address
15619 Premiere Dr Ste 102
Tampa, FL 33624-1332
Phone
(813) 252-7626
Fax
(813) 252-7672
NPI assigned
Jul 6, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2024

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

Authorized official

Name
Mrs. Rosana Saavedra Carcasses, LMT
Title
Owner
Phone
(813) 562-2954

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

15619 Premiere Dr Ste 102
Tampa, FL 33624-1332

Mailing address

15619 Premiere Dr Ste 102
Tampa, FL 33624-1332
Phone (813) 252-7626

National Provider Directory

National Provider Directory

Locations

15619 Premiere Dr
Ste 102
Tampa, FL 33624
Phone (813) 252-7626

NPI Registry JSON

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

{
    "created_epoch": "1720224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720224000000",
    "number": "1346086600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15619 PREMIERE DR STE 102",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336241332",
            "telephone_number": "813-252-7626",
            "fax_number": "813-252-7672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15619 PREMIERE DR STE 102",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336241332",
            "telephone_number": "813-252-7626",
            "fax_number": "813-252-7672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOLPHIN MEDICAL REHAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-06",
        "last_updated": "2024-07-06",
        "certification_date": "2024-02-24",
        "status": "A",
        "authorized_official_last_name": "SAAVEDRA CARCASSES",
        "authorized_official_first_name": "ROSANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-562-2954",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "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 Jul 6, 2024; 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.