Felix Bradley Widlacki, DO

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

OS11223 Issued in FL

Practice address

6601 Memorial Hwy
Tampa, FL 33615-4501

Phone

(813) 981-9005

NPI assigned

Aug 1, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Interoperability endpoints

• Direct secure messaging: felix.widlacki@hca4.eclinicaldirectplus.com

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

{
    "created_epoch": "1217548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1356507008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6601 MEMORIAL HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336154501",
            "telephone_number": "813-981-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 MEMORIAL HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336154501",
            "telephone_number": "813-981-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIDLACKI",
        "first_name": "FELIX",
        "middle_name": "BRADLEY",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-01",
        "last_updated": "2022-02-08",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "125-053116",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "OS11223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "FELIX.WIDLACKI@hca4.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "6601 Memorial Hwy",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336154501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kailey A Wickens, APRN
• Corina Janine Wickiser
• Samuel A Wickline, MD
• Jennifer L. Wicks, APRN
• Alana Widen, RD, LDN, ISAK-1
• Heather Widmer, LMHC, CAP
• Charnell Marie Widnall, MA, LMHC
• Ashley Widom
• Barbara Wieckowski
• John Lung Wiegand, MD

• Psychiatry Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; 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.