Premier OB GYN of Tampa LLP

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

PREMIER OB GYN OF TAMPA LLP

Practice address

2727 W Dr MLK Blvd
Suite 630
Tampa, FL 33607-6383

Phone

(813) 935-8998

Fax

(813) 935-0987

NPI assigned

Oct 8, 2009

Organization subpart

No

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

Authorized official

Name

Mark R Davis, MD

Title

Authorized Signer

Phone

(813) 876-6000

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1254960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569196800000",
    "number": "1609101641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 W DR MLK BLVD",
            "address_2": "SUITE 630",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076383",
            "telephone_number": "813-935-8998",
            "fax_number": "813-935-0987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 W DR MLK BLVD",
            "address_2": "SUITE 630",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076383",
            "telephone_number": "813-935-8998",
            "fax_number": "813-935-0987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER OB GYN OF TAMPA LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-08",
        "last_updated": "2019-09-23",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "AUTHORIZED SIGNER",
        "authorized_official_telephone_number": "813-876-6000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premier Foot and Ankle
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• Premier Medical Equipment, Inc
• Premier Miller Orthopedic Centers Inc
• Premier Miller Orthopedic Centers, Inc.
• Premier OB/GYN
• Premier Orthopedics, Inc.
• Premier Pediatric Therapy Centers, Inc.
• Premier Pharma Services Inc
• Premier Pharmacy LLC

• Obstetrics & Gynecology Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Obstetrics & Gynecology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.