Organization Active NPI

Checkups - FL LLC

  • Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1790905792
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
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

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
Mr. Jack Tawil
Title
C.E.O.
Phone
(212) 760-0050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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. Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.