NPIMap

Organization Active NPI

Preferred Injury Physicians of Town & Country Inc

  • Clinic/Center
  • Tampa, FL
National Provider Identifier
1568914935
Registry record updated Apr 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
CH10487 Issued in FL
Legal business name
PREFERRED INJURY PHYSICIANS OF TOWN & COUNTRY INC
Practice address
5411 Beaumont Center Blvd
Suite 785
Tampa, FL 33634-5260
Phone
(407) 900-7246
NPI assigned
Nov 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2019

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

Authorized official

Name
Marijo St-Laurent
Title
VP of Operations
Phone
(386) 317-9067

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X CH10487 FL Primary

Addresses

Primary practice location

5411 Beaumont Center Blvd
Suite 785
Tampa, FL 33634-5260

Mailing address

5411 Beaumont Center Blvd
Suite 785
Tampa, FL 33634-5260
Phone (407) 900-7246

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1477958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556150400000",
    "number": "1568914935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5411 BEAUMONT CENTER BLVD",
            "address_2": "SUITE 785",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336345260",
            "telephone_number": "407-900-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5411 BEAUMONT CENTER BLVD",
            "address_2": "SUITE 785",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336345260",
            "telephone_number": "407-900-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED INJURY PHYSICIANS OF TOWN & COUNTRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-01",
        "last_updated": "2019-04-25",
        "status": "A",
        "authorized_official_last_name": "ST-LAURENT",
        "authorized_official_first_name": "MARIJO",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "386-317-9067"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "CH10487",
            "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 Apr 25, 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.