Organization Active NPI

Memorial Medical Center Inc

  • Community/Behavioral Health Agency
  • Tampa, FL
National Provider Identifier
1780062919
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MEMORIAL MEDICAL CENTER INC
Practice address
8001 N Dale Mabry Hwy Ste 501
Tampa, FL 33614-3265
Phone
(813) 605-4725
Fax
(813) 605-4726
NPI assigned
May 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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

Authorized official

Name
Ms. Mavys Huice
Title
Owner
Phone
(813) 605-4725

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Rehabilitation Clinic/Center 261QR0400X HCC 10337 FL

Addresses

Primary practice location

8001 N Dale Mabry Hwy Ste 501
Tampa, FL 33614-3265

Mailing address

8001 N Dale Mabry Hwy Ste 501
Tampa, FL 33614-3265
Phone (813) 605-4725

National Provider Directory

National Provider Directory

Locations

6101 Webb Rd
Ste 304305
Tampa, FL 33615

5915 Memorial Hwy
Ste 107
Tampa, FL 33615

8001 N Dale Mabry Hwy
Ste 501
Tampa, FL 33614
Phone (813) 605-4725

NPI Registry JSON

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

{
    "created_epoch": "1430956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603756800000",
    "number": "1780062919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8001 N DALE MABRY HWY STE 501",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336143265",
            "telephone_number": "813-605-4725",
            "fax_number": "813-605-4726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 N DALE MABRY HWY STE 501",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336143265",
            "telephone_number": "813-605-4725",
            "fax_number": "813-605-4726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-07",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A",
        "authorized_official_last_name": "HUICE",
        "authorized_official_first_name": "MAVYS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-605-4725",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "FL",
            "license": "HCC 10337",
            "primary": false
        }
    ],
    "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 27, 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.