Organization Active NPI

Dynamic Health & Wellness Inc,

  • General Practice Physician
  • Tampa, FL
National Provider Identifier
1801499371
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
DYNAMIC HEALTH & WELLNESS INC,
Practice address
320 W Fletcher Ave Ste 105
Tampa, FL 33612-3400
Phone
(132) 526-1148
Fax
(813) 433-5481
NPI assigned
Nov 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Authorized official

Name
William Torres, MD
Title
President
Phone
(813) 252-6114

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary
Clinic/Center 261Q00000X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X

Addresses

Primary practice location

320 W Fletcher Ave Ste 105
Tampa, FL 33612-3400

Mailing address

320 W Fletcher Ave Ste 105
Tampa, FL 33612-3400
Phone (813) 252-6114

Other practice location 1

4750 N Federal Hwy Ste 201
Fort Lauderdale, FL 33308-4609
Phone (754) 222-6754

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211118000518 FL Part B Supplier - Clinic/Group Practice 2365831021 Receives reassigned benefits from 5 practitioners
Practice locations: Tampa, FL

National Provider Directory

National Provider Directory

Locations

4750 N Federal Hwy
Ste 201
Fort Lauderdale, FL 33308
Phone (754) 222-6754

3418 Handy Rd
Ste 101
Tampa, FL 33618

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1605657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751846400000",
    "number": "1801499371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 W FLETCHER AVE STE 105",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336123400",
            "telephone_number": "813-252-6114",
            "fax_number": "813-433-5481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 W FLETCHER AVE STE 105",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336123400",
            "telephone_number": "132-526-1148",
            "fax_number": "813-433-5481"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4750 N Federal Hwy Ste 201",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333084609",
            "country_code": "US",
            "telephone_number": "754-222-6754",
            "fax_number": "813-726-1308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DYNAMIC HEALTH & WELLNESS INC,",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-18",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-252-6114",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "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 Jul 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.