Active NPI
United States Management
- Health Service Clinic/Center
- Tampa, FL
National Provider Identifier
1720599137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- UNITED STATES MANAGEMENT
- Practice address
- 1419 W Waters Ave Ste 105
Tampa, FL 33604-2896 - Phone
- (813) 454-9354
- NPI assigned
- Oct 12, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Monica Vann
- Title
- Manager
- Phone
- (813) 454-9354
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | Primary |
Addresses
Primary practice location
1419 W Waters Ave Ste 105
Tampa, FL 33604-2896
Mailing address
3005 E Chelsea St
Tampa, FL 33610-6913
Other names 1
- United States Management
National Provider Directory
National Provider DirectoryLocations
1419 W Waters Ave
Ste 105
Tampa, FL 33604
Phone (813) 454-9354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507766400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1507766400000",
"number": "1720599137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3005 E CHELSEA ST",
"city": "TAMPA",
"state": "FL",
"postal_code": "336106913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1419 W WATERS AVE STE 105",
"city": "TAMPA",
"state": "FL",
"postal_code": "336042896",
"telephone_number": "813-454-9354"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNITED STATES MANAGEMENT",
"organizational_subpart": "NO",
"enumeration_date": "2017-10-12",
"last_updated": "2017-10-12",
"status": "A",
"authorized_official_last_name": "VANN",
"authorized_official_first_name": "MONICA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "813-454-9354",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "United States Management",
"code": "3",
"type": "Doing Business As"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.