Organization Active NPI

Tampa Bay Health and Wellness

  • Family Medicine Physician
  • Tampa, FL
National Provider Identifier
1366834475
Registry record updated Mar 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
TAMPA BAY HEALTH AND WELLNESS
Practice address
2123 W Dr Martin Luther King Jr Blvd
Suite 201
Tampa, FL 33607-6549
Phone
(813) 421-3941
NPI assigned
Feb 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2015

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

Authorized official

Name
Erica Williams
Title
President
Phone
(727) 238-0857

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2123 W Dr Martin Luther King Jr Blvd
Suite 201
Tampa, FL 33607-6549

Mailing address

9917 Brompton Dr
201
Tampa, FL 33626-5419
Phone (727) 238-0857

National Provider Directory

National Provider Directory

Locations

2123 W Mlk Blvd
Ste 201
Tampa, FL 33607
Phone (813) 870-4460

NPI Registry JSON

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

{
    "created_epoch": "1424908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426204800000",
    "number": "1366834475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9917 BROMPTON DR",
            "address_2": "201",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336265419",
            "telephone_number": "727-238-0857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2123 W DR MARTIN LUTHER KING JR BLVD",
            "address_2": "SUITE 201",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076549",
            "telephone_number": "813-421-3941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMPA BAY HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-26",
        "last_updated": "2015-03-13",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-238-0857"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "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 Mar 13, 2015; 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.