Organization Active NPI

Biocell Regenerative Medicine LLC

  • Family Medicine Physician
  • Tampa, FL
National Provider Identifier
1841818705
Registry record updated Jul 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BIOCELL REGENERATIVE MEDICINE LLC
Practice address
3605 Madaca LN
Tampa, FL 33618-2048
Phone
(813) 443-8222
NPI assigned
Jul 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2020

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

Authorized official

Name
Jonathan UrshanNPI 1104965839
Title
Owner, Authorized Official
Phone
(813) 443-8222

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
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3605 Madaca LN
Tampa, FL 33618-2048

Mailing address

3605 Madaca LN
Tampa, FL 33618-2048
Phone (813) 443-8222

National Provider Directory

National Provider Directory

Locations

1721 S Kings Ave
Brandon, FL 33511
Phone (813) 330-2434

3605 Madaca Ln
Tampa, FL 33618
Phone (813) 443-8222

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": "1594166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595548800000",
    "number": "1841818705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3605 MADACA LN",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182048",
            "telephone_number": "813-443-8222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3605 MADACA LN",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182048",
            "telephone_number": "813-443-8222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIOCELL REGENERATIVE MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-08",
        "last_updated": "2020-07-24",
        "certification_date": "2020-07-24",
        "status": "A",
        "authorized_official_last_name": "URSHAN",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNER, AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "813-443-8222"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "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 Jul 24, 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.