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EXPRESS CARE OF TAMPA BAY LLC NPI 1386700797


NPI Information

NPI: 1386700797
Provider Name: EXPRESS CARE OF TAMPA BAY, LLC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 10D1025721

Address:
6015 REX HALL LN
APOLLO BEACH, FL
ZIP 33572
Phone: (813) 641-0068
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EXPRESS CARE OF TAMPA BAY, LLC is an internal medicine in Apollo Beach, FL. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. EXPRESS CARE OF TAMPA BAY, LLC NPI is 1386700797. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

6015 REX HALL LN
APOLLO BEACH, FL
ZIP 33572-657
Phone: (813) 641-0068
Fax: (813) 645-3816

The provider's authorized official is Khawaja A Rahman .
The authorized official title is President and has the following contact phone number (813) 690-7589.

The CLIA number assigned to this NPI record is 10D1025721 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/29/2006 and was last updated on 12/1/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineME0071027FLORIDANo
2207RC0200XInternal MedicineCritical Care MedicineME71027FLORIDANo
3207RC0200XInternal MedicineCritical Care MedicineME79013FLORIDANo
4207R00000XInternal MedicineME0079013FLORIDAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1K5624MEDICARE ID-TYPE UNSPECIFIEDFLORIDAMCARE GROUP
2269227900MEDICAIDFLORIDA
3=========OTHERFLORIDATAX ID #
4608813300OTHERFLORIDADEPT OF LABOR FACILITY
5B903UOTHERFLORIDABCBS GROUP UC
6G43463MEDICARE UPINFLORIDA
7DB9962OTHERFLORIDARR MCARE GROUP
8K5624MEDICARE ID-TYPE UNSPECIFIEDFLORIDA
910560801OTHERFLORIDACITRUS GROUP UC
10G38500MEDICARE UPINFLORIDA

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: 11/14/2023

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.