NPIMap

Organization Active NPI

Injury Treatment Center Clinic of Tampa LLC

  • Clinic/Center
  • Tampa, FL
National Provider Identifier
1821867516
Registry record updated Dec 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
INJURY TREATMENT CENTER CLINIC OF TAMPA LLC
Practice address
5811 Memorial Hwy Ste 103
Tampa, FL 33615-5000
Phone
(813) 476-8212
NPI assigned
Dec 22, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2023

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

Authorized official

Name
Dr. Mark Seldes, MDNPI 1851382113
Title
Owner/Physician
Phone
(813) 476-8212

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

5811 Memorial Hwy Ste 103
Tampa, FL 33615-5000

Mailing address

5811 Memorial Hwy Ste 103
Tampa, FL 33615-5000
Phone (813) 476-8212

National Provider Directory

National Provider Directory

Locations

5811 Memorial Hwy
Ste 103
Tampa, FL 33615
Phone (813) 476-8212

Practitioners & affiliated clinicians

Practitioners 1

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": "1703203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703203200000",
    "number": "1821867516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5811 MEMORIAL HWY STE 103",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336155000",
            "telephone_number": "813-476-8212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5811 MEMORIAL HWY STE 103",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336155000",
            "telephone_number": "813-476-8212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INJURY TREATMENT CENTER CLINIC OF TAMPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-22",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A",
        "authorized_official_last_name": "SELDES",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "813-476-8212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "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 Dec 22, 2023; 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.