Organization Active NPI

Nadal Medical Center, Inc

  • Legal Medicine
  • Tampa, FL
National Provider Identifier
1932306115
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
MM13567 Issued in FL
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Legal MedicineGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.