Active NPI
Temple Terrace Family Physicans PA
- Primary Care Clinic/Center
- Tampa, FL
National Provider Identifier
1376629089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- OS5749
- Legal business name
- TEMPLE TERRACE FAMILY PHYSICANS PA
- Practice address
- 13311 N 56TH St
Tampa, FL 33617-1161 - Phone
- (813) 899-2015
- Fax
- (813) 987-2700
- NPI assigned
- Oct 27, 2006
- 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
- Dr. George R Davis, D.O.
- Title
- Physician
- Phone
- (813) 899-2015
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | OS5749 | FL | Primary |
Addresses
Primary practice location
13311 N 56TH St
Tampa, FL 33617-1161
Mailing address
13311 N 56TH St
Tampa, FL 33617-1161
Phone (813) 899-2015
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Tampa, FL
- NPI 1740229558
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204675200000",
"number": "1376629089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13311 N 56TH ST",
"city": "TAMPA",
"state": "FL",
"postal_code": "336171161",
"telephone_number": "813-899-2015",
"fax_number": "813-987-2700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13311 N 56TH ST",
"city": "TAMPA",
"state": "FL",
"postal_code": "336171161",
"telephone_number": "813-899-2015",
"fax_number": "813-987-2700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TEMPLE TERRACE FAMILY PHYSICANS PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-27",
"last_updated": "2008-03-05",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "GEORGE",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "813-899-2015",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "FL",
"license": "OS5749",
"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 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.