Complete Primary/Urgent Care LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME93253 Issued in FL

Legal business name

COMPLETE PRIMARY/URGENT CARE LLC

Practice address

2304 E Fletcher Ave
Tampa, FL 33612-9404

Phone

(813) 615-2273

Fax

(813) 632-2000

NPI assigned

Apr 10, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Praveen Korivi, MD

Title

Physician

Phone

(716) 479-1865

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1397088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401321600000",
    "number": "1730508334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2304 E FLETCHER AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336129404",
            "telephone_number": "813-615-2273",
            "fax_number": "813-632-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2304 E FLETCHER AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336129404",
            "telephone_number": "813-615-2273",
            "fax_number": "813-632-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE PRIMARY/URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-10",
        "last_updated": "2014-05-29",
        "status": "A",
        "authorized_official_last_name": "KORIVI",
        "authorized_official_first_name": "PRAVEEN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "716-479-1865",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME93253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.