Organization Active NPI

Focus-FL 1012 PLLC

  • Pediatric Adolescent Medicine Physician
  • Tampa, FL
National Provider Identifier
1720494024
Registry record updated Jul 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
Legal business name
FOCUS-FL 1012 PLLC
Practice address
1501 S Dale Mabry Hwy Ste A6
Tampa, FL 33629-5837
Phone
(877) 225-3542
Fax
(877) 638-9903
NPI assigned
Jul 8, 2014
Last updated
Jul 8, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2014

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

Authorized official

Name
Regina A Hardin
Title
MD
Phone
(888) 225-3542

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X NU Primary

Addresses

Primary practice location

1501 S Dale Mabry Hwy Ste A6
Tampa, FL 33629-5837

Mailing address

510 Lorna SQ
Hoover, AL 35216-5480
Phone (877) 225-3542

National Provider Directory

National Provider Directory

Locations

1501 S Dale Mabry Hwy
Ste A6
Tampa, FL 33629
Phone (877) 225-3542

NPI Registry JSON

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

{
    "created_epoch": "1404777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404777600000",
    "number": "1720494024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 LORNA SQ",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352165480",
            "telephone_number": "877-225-3542",
            "fax_number": "877-638-9903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 S DALE MABRY HWY STE A6",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336295837",
            "telephone_number": "877-225-3542",
            "fax_number": "877-638-9903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOCUS-FL 1012 PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-08",
        "last_updated": "2014-07-08",
        "status": "A",
        "authorized_official_last_name": "HARDIN",
        "authorized_official_first_name": "REGINA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "888-225-3542"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent 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 Jul 8, 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.