Organization Active NPI

Planet Health Medical Center at Tampa Corp

  • Clinic/Center
  • Tampa, FL
National Provider Identifier
1912780727
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
PLANET HEALTH MEDICAL CENTER AT TAMPA CORP
Practice address
5101 N Habana Ave
Tampa, FL 33614-6902
Phone
(813) 537-2100
Fax
(813) 537-2400
NPI assigned
Aug 15, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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

Authorized official

Name
Diana J Santiso
Title
VP
Phone
(305) 741-9281

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

5101 N Habana Ave
Tampa, FL 33614-6902

Mailing address

10305 NW 41St St Ste 115
Doral, FL 33178-2975
Phone (305) 741-9281

National Provider Directory

National Provider Directory

Locations

10305 NW 41st St
Ste 115
Doral, FL 33178
Phone (305) 407-8844

NPI Registry JSON

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

{
    "created_epoch": "1692057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692057600000",
    "number": "1912780727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10305 NW 41ST ST STE 115",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331782975",
            "telephone_number": "305-741-9281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 N HABANA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336146902",
            "telephone_number": "813-537-2100",
            "fax_number": "813-537-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANET HEALTH MEDICAL CENTER AT TAMPA CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-15",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A",
        "authorized_official_last_name": "SANTISO",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "305-741-9281"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "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 15, 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.