Organization Active NPI

Physicians Care Centers of Tampa Bay

  • Internal Medicine Physician
  • Tampa, FL
National Provider Identifier
1457618035
Registry record updated Mar 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PHYSICIANS CARE CENTERS OF TAMPA BAY
Practice address
2123 W Dr Martin Luther King Jr Blvd
Suite 101
Tampa, FL 33607-6549
Phone
(813) 872-6577
Fax
(813) 924-0967
NPI assigned
Apr 19, 2012
Last updated
Mar 13, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2014

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

Authorized official

Name
Mr. William Steele
Title
Ceo
Phone
(561) 385-0731

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

2123 W Dr Martin Luther King Jr Blvd
Suite 101
Tampa, FL 33607-6549

Mailing address

2123 W Dr Martin Luther King Jr Blvd
Suite 101
Tampa, FL 33607-6549
Phone (813) 872-6577

National Provider Directory

National Provider Directory

Locations

2123 W Mlk Blvd
Ste 101
Tampa, FL 33607
Phone (813) 405-4385

NPI Registry JSON

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

{
    "created_epoch": "1334793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394668800000",
    "number": "1457618035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2123 W DR MARTIN LUTHER KING JR BLVD",
            "address_2": "SUITE 101",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076549",
            "telephone_number": "813-872-6577",
            "fax_number": "813-924-0967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2123 W DR MARTIN LUTHER KING JR BLVD",
            "address_2": "SUITE 101",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076549",
            "telephone_number": "813-872-6577",
            "fax_number": "813-924-0967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS CARE CENTERS OF TAMPA BAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-19",
        "last_updated": "2014-03-13",
        "status": "A",
        "authorized_official_last_name": "STEELE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-385-0731",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "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 Mar 13, 2014; 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.