TEMPLE TERRACE FAMILY PHYSICANS PA NPI 1376629089

NPI Information

NPI: 1376629089
Provider Name: TEMPLE TERRACE FAMILY PHYSICANS PA
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 10D0929418

Address:
13311 N 56TH ST
TAMPA, FL
ZIP 33617
Phone: (813) 899-2015
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TEMPLE TERRACE FAMILY PHYSICANS PA is a primary care clinic center in Tampa, FL. TEMPLE TERRACE FAMILY PHYSICANS PA NPI is 1376629089. The provider is registered as an organization entity type.

The provider's business location address is:

13311 N 56TH ST
TAMPA, FL
ZIP 33617-161
Phone: (813) 899-2015
Fax: (813) 987-2700

The provider's authorized official is George R Davis .
The authorized official title is Physician and has the following contact phone number (813) 899-2015.

The CLIA number assigned to this NPI record is 10D0929418 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/27/2006 and was last updated on 3/5/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	OS5749	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	34460	MEDICARE ID-TYPE UNSPECIFIED	FLORIDA	GROUP NUMBER
2	F47300	MEDICARE UPIN	FLORIDA
3	S66309	MEDICARE UPIN	FLORIDA
4	DB3650	MEDICARE PIN	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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