Organization Active NPI

Kingsway Medical Center Inc

  • Pediatrics Physician
  • Brandon, FL
National Provider Identifier
1992996557
Registry record updated Aug 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME59296 Issued in FL
Legal business name
KINGSWAY MEDICAL CENTER INC
Practice address
407 N Parsons Ave
Suite 102a
Brandon, FL 33510-4537
Phone
(813) 655-5807
Fax
(813) 655-9817
NPI assigned
Aug 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2007

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

Authorized official

Name
Dr. Anilkumar R Patel, MDNPI 1295848554
Title
President
Phone
(813) 655-5807

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X ME59296 FL Primary

Addresses

Primary practice location

407 N Parsons Ave
Suite 102a
Brandon, FL 33510-4537

Mailing address

407 N Parsons Ave
Suite 102a
Brandon, FL 33510-4537
Phone (813) 655-5807

National Provider Directory

National Provider Directory

Locations

407 N Parsons Ave
Ste 102A
Brandon, FL 33510
Phone (813) 655-5807

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186444800000",
    "number": "1992996557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 N PARSONS AVE",
            "address_2": "SUITE 102A",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335104537",
            "telephone_number": "813-655-5807",
            "fax_number": "813-655-9817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 N PARSONS AVE",
            "address_2": "SUITE 102A",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335104537",
            "telephone_number": "813-655-5807",
            "fax_number": "813-655-9817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGSWAY MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2007-08-07",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "ANILKUMAR",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-655-5807",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME59296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2007; 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.