DOCTORS MEDICAL CLINICS OF TAMPA LLC NPI 1528364882

NPI Information

NPI: 1528364882
Provider Name: DOCTORS MEDICAL CLINICS OF TAMPA, LLC

Doing Business As: DOCTORS MEDICAL CLINICS

Classification: Clinic/Center - 261QP3300X
Entity Type: Organization

Specialization: Pain

Address:
10770 N 46TH ST STE B300
TAMPA, FL
ZIP 33617
Phone: (813) 988-8380
Get Directions

DOCTORS MEDICAL CLINICS OF TAMPA, LLC is a pain clinic center in Tampa, FL. DOCTORS MEDICAL CLINICS OF TAMPA, LLC NPI is 1528364882. The provider is registered as an organization entity type.
The provider Is Doing Business As Doctors Medical Clinics.

The provider's business location address is:

10770 N 46TH ST STE B300
TAMPA, FL
ZIP 33617-488
Phone: (813) 988-8380
Fax: (813) 988-8423

The provider's authorized official is Wisdom K Darko .
The authorized official title is Manager/owner and has the following contact phone number (813) 988-8380.

The CLIA number assigned to this NPI record is 10D2168971 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/3/2011 and was last updated on 5/2/2018.

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	261Q00000X	Clinic/Center		HCC8997	FLORIDA	No
2	261QP3300X	Clinic/Center	Pain	PMC1035	FLORIDA	Yes
3	302R00000X	Health Maintenance Organization		HCC8997	FLORIDA	No

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	HCC8997	OTHER	FLORIDA	AHCA
2	EZ293A	OTHER	FLORIDA	MEDICARE

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »