Active NPI
Paul Kamga
- Developmental Disabilities Clinic/Center
- Tampa, FL
National Provider Identifier
1811464209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Disabilities Clinic/Center
- Practice address
- 13540 N Florida Ave Ste 202a
Tampa, FL 33613-3210 - Phone
- (813) 999-8474
- NPI assigned
- Oct 24, 2018
- Last updated
- Oct 24, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Disabilities Clinic/Center | 261QD1600X | NU | Primary |
Addresses
Primary practice location
13540 N Florida Ave Ste 202a
Tampa, FL 33613-3210
Mailing address
13540 N Florida Ave Ste 202a
Tampa, FL 33613-3210
Phone (813) 230-3332
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540339200000",
"number": "1811464209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13540 N FLORIDA AVE STE 202A",
"city": "TAMPA",
"state": "FL",
"postal_code": "336133210",
"telephone_number": "813-230-3332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13540 N FLORIDA AVE STE 202A",
"city": "TAMPA",
"state": "FL",
"postal_code": "336133210",
"telephone_number": "813-999-8474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAMGA",
"first_name": "PAUL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-10-24",
"last_updated": "2018-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "261QD1600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Developmental Disabilities",
"state": "NU",
"license": null,
"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 Oct 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.