Organization Active NPI

Body Healthcare Center LLC

  • Clinic/Center
  • Tampa, FL
National Provider Identifier
1902040496
Registry record updated Apr 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
HCC 7428 Issued in FL
Legal business name
BODY HEALTHCARE CENTER LLC
Practice address
2005 Pam Am Circle Dr
500
Tampa, FL 33607
Phone
(813) 872-7300
Fax
(813) 872-7388
NPI assigned
Apr 28, 2009
Last updated
Apr 28, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2009

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

Authorized official

Name
Walter Borjas
Title
Owner
Phone
(813) 872-7300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X HCC 7428 FL Primary

Addresses

Primary practice location

2005 Pam Am Circle Dr
500
Tampa, FL 33607

Mailing address

2005 Pam Am Circle Dr
500
Tampa, FL 33607

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1240876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240876800000",
    "number": "1902040496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 PAM AM CIRCLE DR",
            "address_2": "500",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 PAM AM CIRCLE DR",
            "address_2": "500",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33607",
            "telephone_number": "813-872-7300",
            "fax_number": "813-872-7388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY HEALTHCARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-28",
        "last_updated": "2009-04-28",
        "status": "A",
        "authorized_official_last_name": "BORJAS",
        "authorized_official_first_name": "WALTER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-872-7300"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "HCC 7428",
            "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 Apr 28, 2009; 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.