Tampa Bay Premier OBGYN PLLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

TAMPA BAY PREMIER OBGYN PLLC

Practice address

2727 W Dr MLK Blvd Ste 630
Tampa, FL 33607-6399

Phone

(813) 876-6000

Fax

(813) 872-7459

NPI assigned

Apr 2, 2019

Last updated

Apr 2, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Vickie Gonzalez

Title

Manager

Phone

(813) 876-6000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1554163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554163200000",
    "number": "1811459563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 W DR MLK BLVD STE 630",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076399",
            "telephone_number": "813-876-6000",
            "fax_number": "813-872-7459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 W DR MLK BLVD STE 630",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076399",
            "telephone_number": "813-876-6000",
            "fax_number": "813-872-7459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMPA BAY PREMIER OBGYN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-02",
        "last_updated": "2019-04-02",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "VICKIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "813-876-6000"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Tampa, FL by specialty
• Obstetrics & Gynecology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2019; 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.