NPIMap

Organization Active NPI

Tri-City Walk-in Clinic

  • Health Educator
  • Dade City, FL
National Provider Identifier
1912317413
Registry record updated May 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
License
PA9100777 Issued in FL
Legal business name
TRI-CITY WALK-IN CLINIC
Practice address
33281 Cortez Blvd
Dade City, FL 33523-9008
Phone
(850) 333-0889
NPI assigned
May 6, 2014
Last updated
May 6, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2014

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

Authorized official

Name
Mr. Anwar Chowdhury, P.A.
Title
Physician's Assist.
Phone
(850) 865-3997

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health EducatorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174H00000X PA9100777 FL Primary

Addresses

Primary practice location

33281 Cortez Blvd
Dade City, FL 33523-9008

Mailing address

9W Orange Ave.
Defuniak Spring, FL 32435
Phone (850) 865-3997

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1399334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399334400000",
    "number": "1912317413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9W ORANGE AVE.",
            "city": "DEFUNIAK SPRING",
            "state": "FL",
            "postal_code": "32435",
            "telephone_number": "850-865-3997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33281 CORTEZ BLVD",
            "city": "DADE CITY",
            "state": "FL",
            "postal_code": "335239008",
            "telephone_number": "850-333-0889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-CITY WALK-IN CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-06",
        "last_updated": "2014-05-06",
        "status": "A",
        "authorized_official_last_name": "CHOWDHURY",
        "authorized_official_first_name": "ANWAR",
        "authorized_official_title_or_position": "PHYSICIAN'S ASSIST.",
        "authorized_official_telephone_number": "850-865-3997",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.A."
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": "FL",
            "license": "PA9100777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dade City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2014; 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.