Active NPI
Body Healthcare Center LLC
- Clinic/Center
- Tampa, FL
National Provider Identifier
1902040496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- HCC 7428
- 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, 2009
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.