Organization Active NPI

Palliative and Rehabilitation Medical Center

  • General Practice Physician
  • Tampa, FL
National Provider Identifier
1992155295
Registry record updated Jun 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
PALLIATIVE AND REHABILITATION MEDICAL CENTER
Practice address
1931 W Dr Martin Luther King Jr Blvd
Suite-E
Tampa, FL 33607-6529
Phone
(813) 515-6676
Fax
(813) 515-6685
NPI assigned
Jun 16, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2016

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

Authorized official

Name
Dr. Kendrick Eugene Duldulao, M.D.
Title
Owner
Phone
(813) 515-6676

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

1931 W Dr Martin Luther King Jr Blvd
Suite-E
Tampa, FL 33607-6529

Mailing address

1931 W Dr Martin Luther King Jr Blvd
Suite-E
Tampa, FL 33607-6529
Phone (813) 515-6676

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1466035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466035200000",
    "number": "1992155295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1931 W DR MARTIN LUTHER KING JR BLVD",
            "address_2": "SUITE-E",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076529",
            "telephone_number": "813-515-6676",
            "fax_number": "813-515-6685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1931 W DR MARTIN LUTHER KING JR BLVD",
            "address_2": "SUITE-E",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076529",
            "telephone_number": "813-515-6676",
            "fax_number": "813-515-6685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALLIATIVE AND REHABILITATION MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-16",
        "last_updated": "2016-06-16",
        "status": "A",
        "authorized_official_last_name": "DULDULAO",
        "authorized_official_first_name": "KENDRICK",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-515-6676",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "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 Jun 16, 2016; 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.