Center for Internal Medicine Inc Temple Terrace

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME54314 Issued in FL

Legal business name

CENTER FOR INTERNAL MEDICINE INC TEMPLE TERRACE

Practice address

4941 E Busch Blvd
Suite #140
Tampa, FL 33617-6056

Phone

(813) 985-2333

Fax

(813) 989-8746

NPI assigned

Jan 13, 2011

Last updated

Sep 21, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ivette Hernandez, M.D

Title

Medical Director

Phone

(813) 985-2333

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kimberly M Gray-White, M.D.

  • Family Medicine Physician
  • Tampa, FL
  • NPI 1598783193
  NPD (past)

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

{
    "created_epoch": "1294876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316563200000",
    "number": "1376848887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4941 EAST BUSCH BLVD,",
            "address_2": "SUITE #140, TEMPLE TERRACE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33617",
            "telephone_number": "813-985-2333",
            "fax_number": "813-989-8746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4941 E BUSCH BLVD",
            "address_2": "SUITE #140",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336176056",
            "telephone_number": "813-985-2333",
            "fax_number": "813-989-8746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR INTERNAL MEDICINE INC TEMPLE TERRACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-13",
        "last_updated": "2011-09-21",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "IVETTE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "813-985-2333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME54314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2011; 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.