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PREMISE HEALTH OF FLORIDA MEDICAL P.A. NPI 1356976401


NPI Information

NPI: 1356976401
Provider Name: PREMISE HEALTH OF FLORIDA MEDICAL, P.A.

Doing Business As: CAPITAL ONE BE WELL HEALTH CENTER AT TAMPA

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
8705 HENDERSON RD
TAMPA, FL
ZIP 33634
Phone: (813) 883-7701
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PREMISE HEALTH OF FLORIDA MEDICAL, P.A. is a primary care clinic center in Tampa, FL. PREMISE HEALTH OF FLORIDA MEDICAL, P.A. NPI is 1356976401. The provider is registered as an organization entity type.
The provider Is Doing Business As Capital One Be Well Health Center At Tampa.

The provider's business location address is:

8705 HENDERSON RD
TAMPA, FL
ZIP 33634-143
Phone: (813) 883-7701
Fax: (813) 883-7711

The provider's authorized official is Jonathan Leizman .
The authorized official title is President and has the following contact phone number (216) 479-9063.

The enumeration date for this NPI number is 3/10/2020 and was last updated on 8/9/2022.


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
1261QP2300XClinic/CenterPrimary CareYes

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

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