Tampa Bay Uveitis Center LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

ME99689 Issued in FL

Legal business name

TAMPA BAY UVEITIS CENTER LLC

Practice address

5800 49TH St N Ste S108
St Petersburg, FL 33709-2146

Phone

(727) 317-5830

Fax

(888) 539-6488

NPI assigned

Jul 7, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Grace Levy-Clarke, MD

Title

Director

Phone

(727) 317-5830

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591920000000",
    "number": "1992188015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1703 N MCMULLEN BOOTH RD UNIT 764",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346959630",
            "telephone_number": "727-317-5830",
            "fax_number": "888-539-6488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 49TH ST N STE S108",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337092146",
            "telephone_number": "727-317-5830",
            "fax_number": "888-539-6488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "907 N Parsons Ave",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "335103107",
            "country_code": "US",
            "telephone_number": "727-317-5830",
            "fax_number": "888-539-6488",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13940 N US Highway 441 Ste 503",
            "address_purpose": "LOCATION",
            "city": "The Villages",
            "state": "FL",
            "postal_code": "321598953",
            "country_code": "US",
            "telephone_number": "727-201-2118",
            "fax_number": "888-539-6488",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11809 N Dale Mabry Hwy",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336183505",
            "country_code": "US",
            "telephone_number": "727-201-2118",
            "fax_number": "888-539-6488",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2020 Seven Springs Blvd",
            "address_purpose": "LOCATION",
            "city": "New Port Richey",
            "state": "FL",
            "postal_code": "346553933",
            "country_code": "US",
            "telephone_number": "727-201-2118",
            "fax_number": "888-539-6488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TAMPA BAY UVEITIS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-07",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A",
        "authorized_official_last_name": "LEVY-CLARKE",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "727-317-5830",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "FL",
            "license": "ME99689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Medical Specialty Clinic/Center in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Medical Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.