Active NPI
Summit Health Multi Specialty of Florida LLC
- General Practice Physician
- Tampa, FL
National Provider Identifier
1760080212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 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 DirectoryLocations
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.