Organization Active NPI

Skinny Me America LLC

  • Family Medicine Physician
  • Tampa, FL
National Provider Identifier
1902689359
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SKINNY ME AMERICA LLC
Practice address
5331 Primrose Lake Cirvlr Suite 202
Tampa, FL 33647
Phone
(855) 875-4669
NPI assigned
Aug 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Authorized official

Name
Ruben Rothschild
Title
Partner
Phone
(855) 875-4669

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

5331 Primrose Lake Cirvlr Suite 202
Tampa, FL 33647

Mailing address

13805 San Juan Ave
Hudson, FL 34667
Phone (855) 875-4669

National Provider Directory

National Provider Directory

Locations

5331 Primrose Lake Cir
Ste 202
Tampa, FL 33647
Phone (855) 875-4669

NPI Registry JSON

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

{
    "created_epoch": "1692230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692230400000",
    "number": "1902689359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13805 SAN JUAN AVE",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "34667",
            "telephone_number": "855-875-4669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5331 PRIMROSE LAKE CIRVLR SUITE 202",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33647",
            "telephone_number": "855-875-4669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKINNY ME AMERICA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-17",
        "last_updated": "2023-08-17",
        "certification_date": "2023-06-26",
        "status": "A",
        "authorized_official_last_name": "ROTHSCHILD",
        "authorized_official_first_name": "RUBEN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "855-875-4669"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE 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 Aug 17, 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.