Active NPI
Nadal Medical Center, Inc
- Legal Medicine
- Tampa, FL
National Provider Identifier
1932306115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Legal Medicine
- License
- MM13567
- Legal business name
- NADAL MEDICAL CENTER, INC
- Practice address
- 4019 W Waters Ave
Ste #D
Tampa, FL 33614-1949 - Phone
- (813) 890-9064
- Fax
- (813) 890-9813
- NPI assigned
- Jun 29, 2007
- 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
- Dr. Chuma G Osuji, D.O
- Title
- Medical Director
- Phone
- (813) 890-9064
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Legal Medicine | 173000000X | MM13567 | FL | Primary |
Addresses
Primary practice location
4019 W Waters Ave
Ste #D
Tampa, FL 33614-1949
Mailing address
4019 W Waters Ave
Ste #D
Tampa, FL 33614
Phone (813) 890-9064
National Provider Directory
National Provider DirectoryLocations
4019 W Waters Ave
Ste D
Tampa, FL 33614
Phone (813) 890-9064
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183075200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1932306115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4019 W WATERS AVE",
"address_2": "STE #D",
"city": "TAMPA",
"state": "FL",
"postal_code": "33614",
"telephone_number": "813-890-9064",
"fax_number": "813-890-9813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4019 W WATERS AVE",
"address_2": "STE #D",
"city": "TAMPA",
"state": "FL",
"postal_code": "336141949",
"telephone_number": "813-890-9064",
"fax_number": "813-890-9813"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NADAL MEDICAL CENTER, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-29",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "OSUJI",
"authorized_official_first_name": "CHUMA",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "813-890-9064",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O"
},
"taxonomies": [
{
"code": "173000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Legal Medicine",
"state": "FL",
"license": "MM13567",
"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 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.