Organization Active NPI

Summit Health Multi Specialty of Florida LLC

  • General Practice Physician
  • Tampa, FL
National Provider Identifier
1760080212
Registry record updated Oct 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
SUMMIT HEALTH MULTI SPECIALTY OF FLORIDA LLC
Practice address
1881 W Kennedy Blvd Ste D
Tampa, FL 33606-1611
Phone
(240) 469-2181
NPI assigned
Oct 15, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2020

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

Authorized official

Name
Laura Adkins
Title
Practice Manager
Phone
(803) 473-0973

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

1881 W Kennedy Blvd Ste D
Tampa, FL 33606-1611

Mailing address

3247 Q St NW Ste 152
Washington, DC 20007-3047
Phone (240) 469-2181

National Provider Directory

National Provider Directory

Locations

3247 Q St NW
Ste 152
Washington, DC 20007

1881 W Kennedy Blvd
Ste D
Tampa, FL 33606

NPI Registry JSON

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

{
    "created_epoch": "1602720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602720000000",
    "number": "1760080212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3247 Q ST NW STE 152",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200073047",
            "telephone_number": "240-469-2181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1881 W KENNEDY BLVD STE D",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336061611",
            "telephone_number": "240-469-2181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT HEALTH MULTI SPECIALTY OF FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-15",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A",
        "authorized_official_last_name": "ADKINS",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "803-473-0973"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "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 Oct 15, 2020; 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.