Organization Active NPI

Albert Tawil, M.D., P.a.

  • Geriatric Medicine (Family Medicine) Physician
  • Tampa, FL
National Provider Identifier
1396179024
Registry record updated Aug 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
ME0010834 Issued in FL
Legal business name
ALBERT TAWIL, M.D., P.A.
Practice address
508 S Habana Ave
Ste. 360
Tampa, FL 33609-4181
Phone
(813) 876-5548
Fax
(813) 874-2477
NPI assigned
Aug 29, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2013

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

Authorized official

Name
Dr. Albert Tawil, M.D.
Title
Physcian
Phone
(813) 876-5548

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QG0300X ME0010834 FL Primary

Addresses

Primary practice location

508 S Habana Ave
Ste. 360
Tampa, FL 33609-4181

Mailing address

508 S Habana Ave
Ste. 360
Tampa, FL 33609-4181
Phone (813) 876-5548

National Provider Directory

National Provider Directory

Locations

508 S Habana Ave
Ste 360
Tampa, FL 33609
Phone (813) 474-3636

NPI Registry JSON

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

{
    "created_epoch": "1377734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377734400000",
    "number": "1396179024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 S HABANA AVE",
            "address_2": "STE. 360",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094181",
            "telephone_number": "813-876-5548",
            "fax_number": "813-874-2477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 S HABANA AVE",
            "address_2": "STE. 360",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094181",
            "telephone_number": "813-876-5548",
            "fax_number": "813-874-2477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBERT TAWIL, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-29",
        "last_updated": "2013-08-29",
        "status": "A",
        "authorized_official_last_name": "TAWIL",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_title_or_position": "PHYSCIAN",
        "authorized_official_telephone_number": "813-876-5548",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME0010834",
            "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 Aug 29, 2013; 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.