Active NPI
Tampa Bay Health and Wellness
- Family Medicine Physician
- Tampa, FL
National Provider Identifier
1366834475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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 DirectoryLocations
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
- Tampa Bay Eye Health LLC
- Tampa Bay Garden Home Health LLC
- Tampa Bay Hand Center, P.a.
- Tampa Bay Hand Surgery Center, P.a.
- Tampa Bay Health Alliance, LLC
- Tampa Bay Health Group Corp
- Tampa Bay Hearing and Balance Center
- Tampa Bay Holistic Wellness
- Tampa Bay Home Health Care, Inc.
- Tampa Bay Home Health LLC
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.