Organization Active NPI

Docare Clinic, Inc

Doing business as Docare Walk-in Clinic

  • Family Medicine Physician
  • Tampa, FL
National Provider Identifier
1447433040
Registry record updated Nov 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS8399 Issued in FL
Legal business name
DOCARE CLINIC, INC
Doing business as
Docare Walk-in Clinic
Practice address
3317 W Gandy Blvd
Tampa, FL 33611-2931
Phone
(813) 878-2222
NPI assigned
Dec 6, 2007
Last updated
Nov 15, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2011

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

Authorized official

Name
Chuma G Osuji, D.O
Title
Medical Director
Phone
(813) 878-2222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS8399 FL Primary

Addresses

Primary practice location

3317 W Gandy Blvd
Tampa, FL 33611-2931

Mailing address

PO Box 172445
Tampa, FL 33672-0445
Phone (813) 878-2222

Other identifiers 1

IdentifierTypeStateIssuer
272103100FLMedicaidFL

Other names 1

  • DOCARE WALK-IN CLINIC Doing business as

National Provider Directory

National Provider Directory

Locations

3879 S US 301
Riverview, FL 33578
Phone (813) 878-2222

3317 W Gandy Blvd
Tampa, FL 33611
Phone (813) 878-2222

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321315200000",
    "number": "1447433040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 172445",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336720445",
            "telephone_number": "813-878-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3317 W GANDY BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336112931",
            "telephone_number": "813-878-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCARE CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-06",
        "last_updated": "2011-11-15",
        "status": "A",
        "authorized_official_last_name": "OSUJI",
        "authorized_official_first_name": "CHUMA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "813-878-2222",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS8399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "272103100FL",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DOCARE WALK-IN CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 15, 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.