Organization Active NPI

Diabetes Wellness Clinics of Tampa Bay

  • Legal Medicine
  • Oldsmar, FL
National Provider Identifier
1659604122
Registry record updated Sep 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
Legal business name
DIABETES WELLNESS CLINICS OF TAMPA BAY
Practice address
3941 Tampa Rd
Oldsmar, FL 34677-3104
Phone
(813) 448-1055
Fax
(813) 448-1057
NPI assigned
Sep 15, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2009

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

Authorized official

Name
Mr. Richard Henry Dorsey
Title
President
Phone
(813) 448-1055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193400000X SINGLE SPECIALTY GROUP 173000000X Primary

Addresses

Primary practice location

3941 Tampa Rd
Oldsmar, FL 34677-3104

Mailing address

3941 Tampa Rd
Oldsmar, FL 34677-3104
Phone (813) 448-1055

National Provider Directory

National Provider Directory

Locations

3941 Tampa Rd
Oldsmar, FL 34677
Phone (813) 448-1055

NPI Registry JSON

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

{
    "created_epoch": "1252972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252972800000",
    "number": "1659604122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3941 TAMPA RD",
            "city": "OLDSMAR",
            "state": "FL",
            "postal_code": "346773104",
            "telephone_number": "813-448-1055",
            "fax_number": "813-448-1057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3941 TAMPA RD",
            "city": "OLDSMAR",
            "state": "FL",
            "postal_code": "346773104",
            "telephone_number": "813-448-1055",
            "fax_number": "813-448-1057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETES WELLNESS CLINICS OF TAMPA BAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-15",
        "last_updated": "2009-09-15",
        "status": "A",
        "authorized_official_last_name": "DORSEY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-448-1055",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oldsmar, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2009; 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.