Organization Active NPI

Raul F Nodal Mdpa

  • Clinic/Center
  • Tampa, FL
National Provider Identifier
1790719961
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
ME82531 Issued in FL
Legal business name
RAUL F NODAL MDPA
Practice address
5012 Gunn Hwy.
Tampa, FL 33624
Phone
(813) 960-2142
Fax
(813) 269-4109
NPI assigned
Jul 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Raul F Nodal, M.D.
Title
President
Phone
(813) 960-2142

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X ME82531 FL Primary

Addresses

Primary practice location

5012 Gunn Hwy.
Tampa, FL 33624

Mailing address

11803 Nicklaus Cir
Tampa, FL 33624-4539
Phone (813) 368-2160

National Provider Directory

National Provider Directory

Locations

5012 Gunn Hwy
Tampa, FL 33624
Phone (813) 960-2142

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790719961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11803 NICKLAUS CIR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336244539",
            "telephone_number": "813-368-2160",
            "fax_number": "813-269-4109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5012 GUNN HWY.",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33624",
            "telephone_number": "813-960-2142",
            "fax_number": "813-269-4109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAUL F NODAL MDPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NODAL",
        "authorized_official_first_name": "RAUL",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-960-2142",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "ME82531",
            "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 Aug 22, 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.