Organization Active NPI

Palms Clinical Services Inc

  • Family Medicine Physician
  • Tampa, FL
National Provider Identifier
1447898101
Registry record updated Dec 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PALMS CLINICAL SERVICES INC
Practice address
17008 Palm Pointe Dr Ste 101
Tampa, FL 33647-3504
Phone
(813) 252-9063
NPI assigned
Dec 12, 2019
Last updated
Dec 12, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2019

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

Authorized official

Name
Shahida Amar Choudhry, PHARMD
Title
Director
Phone
(813) 252-9063

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

17008 Palm Pointe Dr Ste 101
Tampa, FL 33647-3504

Mailing address

17008 Palm Pointe Dr Ste 101
Tampa, FL 33647-3504
Phone (813) 252-9063

National Provider Directory

National Provider Directory

Locations

17008 Palm Pointe Dr
Ste 101
Tampa, FL 33647
Phone (813) 252-9063

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": "1576108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576108800000",
    "number": "1447898101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17008 PALM POINTE DR STE 101",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473504",
            "telephone_number": "813-252-9063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17008 PALM POINTE DR STE 101",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473504",
            "telephone_number": "813-252-9063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMS CLINICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-12",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A",
        "authorized_official_last_name": "AMAR CHOUDHRY",
        "authorized_official_first_name": "SHAHIDA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "813-252-9063",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "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 Dec 12, 2019; 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.