Organization Active NPI

Marbella Medical Center Inc

  • Clinic/Center
  • Tampa, FL
National Provider Identifier
1346554102
Registry record updated Aug 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
MM25157 Issued in FL
Legal business name
MARBELLA MEDICAL CENTER INC
Practice address
8011 N Himes Ave
Tampa, FL 33614-2700
Phone
(813) 514-9999
NPI assigned
Aug 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2010

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

Authorized official

Name
Wendell M Underwood, D.C.
Title
Owner
Phone
(813) 514-9999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X MM25157 FL Primary

Addresses

Primary practice location

8011 N Himes Ave
Tampa, FL 33614-2700

Mailing address

8011 N Himes Ave
Tampa, FL 33614-2700
Phone (813) 514-9999

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1280793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280793600000",
    "number": "1346554102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8011 N HIMES AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336142700",
            "telephone_number": "813-514-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8011 N HIMES AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336142700",
            "telephone_number": "813-514-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARBELLA MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-03",
        "last_updated": "2010-08-03",
        "status": "A",
        "authorized_official_last_name": "UNDERWOOD",
        "authorized_official_first_name": "WENDELL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-514-9999",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "MM25157",
            "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 Aug 3, 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.