Active NPI
Checkups - FL LLC
- Nurse Practitioner
- Tampa, FL
National Provider Identifier
1790905792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- CHECKUPS - FL LLC
- Doing business as
- CHECKUPS HOLDINGS, INC.
- Practice address
- 11910 Bruce B Downs Blvd
Tampa, FL 33647 - Phone
- (212) 760-0050
- NPI assigned
- May 1, 2007
- 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
- Mr. Jack Tawil
- Title
- C.E.O.
- Phone
- (212) 760-0050
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | Primary |
Addresses
Primary practice location
11910 Bruce B Downs Blvd
Tampa, FL 33647
Mailing address
1359 Broadway
New York, NY 10018-7102
Phone (212) 760-0050
Other names 1
- CHECKUPS HOLDINGS, INC.
National Provider Directory
National Provider DirectoryLocations
1359 Broadway
New York, NY 10018
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1790905792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1359 BROADWAY",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100187102",
"telephone_number": "212-760-0050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11910 BRUCE B DOWNS BLVD",
"city": "TAMPA",
"state": "FL",
"postal_code": "33647",
"telephone_number": "212-760-0050"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHECKUPS - FL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-01",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "TAWIL",
"authorized_official_first_name": "JACK",
"authorized_official_title_or_position": "C.E.O.",
"authorized_official_telephone_number": "212-760-0050",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "CHECKUPS HOLDINGS, INC.",
"code": "3",
"type": "Doing Business As"
}
]
}
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.