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PREMISE HEALTH OF FLORIDA MEDICAL P.A. NPI 1841667003


NPI Information

NPI: 1841667003
Provider Name: PREMISE HEALTH OF FLORIDA MEDICAL, P.A.

Doing Business As: USAA CROSSTOWN

Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 10D2102206

Address:
9527 DELANEY CREEK BLVD
TAMPA, FL
ZIP 33619
Phone: (813) 615-5230
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PREMISE HEALTH OF FLORIDA MEDICAL, P.A. is a general practice in Tampa, FL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee PREMISE HEALTH OF FLORIDA MEDICAL, P.A. NPI is 1841667003. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Usaa Crosstown.

The provider's business location address is:

9527 DELANEY CREEK BLVD
TAMPA, FL
ZIP 33619
Phone: (813) 615-5230
Fax: (813) 627-0413

The provider's authorized official is William Wright .
The authorized official title is Legal Counsel and has the following contact phone number (615) 577-5893.

The CLIA number assigned to this NPI record is 10D2102206 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/24/2015 and was last updated on 12/20/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral PracticeYes

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: 4/28/2024

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.