PREMIUM HEALTH SERVICES OF TAMPA (NPI# 1790060366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790060366 |
Entity Type | Organization |
Organization Name | PREMIUM HEALTH SERVICES OF TAMPA |
Other Organization Name | EXPRESS CARE OF TAMPA BAY |
Practice Address |
107 W Robertson St Brandon FL 33511-5111 |
Mailing Address |
6015 Rex Hall Ln Apollo Beach FL 33572-2657 |
Practice Telephone | 8136514100 |
Practice Fax Number | 8136514111 |
Mailing Telephone | 8136907589 |
Enumeration Date | 2011-10-14 |
Last Update Date | 2011-10-14 |
Authorized Official Name | DR. KHAWAJA A RAHMAN (PRESIDENT) |
Authorized Official Telephone | 8136514100 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
ME79013 | FL | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MEDICARE INDIVIDUAL | 49283V | 01 | |
FL | MEDICAL LICENSE | ME79013 | 01 |
Other Name | Type Code |
---|---|
express care of tampa bay | Doing Business As Name - Organization |
Street Address |
107 W ROBERTSON ST |
City | BRANDON |
State | FL |
Zip Code | 33511-5111 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518011386 | Express Care of Tampa Bay, Inc | Internal Medicine | 107 W Robertson St, Brandon, FL 33511-5111 | 2007-01-22 |
1265968135 | Ruben Viloria | Dentist | 107 W Robertson St, Brandon, FL 33511-5111 | 2017-05-11 |
1205285459 | Robert Krachenfels | Dentist | 107 W Robertson St, Brandon, FL 33511-5111 | 2016-06-08 |
1104268341 | Family Medical Express and Riverview Pediatrics | Pediatrics | 107 W Robertson St, Brandon, FL 33511-5111 | 2013-07-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295367555 | Ability Beyond Measures LLC. | Clinic/Center | 2705 Isabella Valley Court, Brandon, FL 33511 | 2020-02-05 |
1831744655 | Brandon Modern Dentistry, Pa | Dentist | 971 E. Bloomingdale Avenue, Brandon, FL 33511 | 2019-08-08 |
1487208922 | Heart and Vascular Center of Brandon, Pllc | Internal Medicine | 511 Medical Oaks Ave., Brandon, FL 33511 | 2019-08-01 |
1841842895 | Rebecca Harrelson | Counselor | 915 Oakfield Drive, Suite E, Brandon, FL 33511 | 2019-07-10 |
1043779713 | Cheryl Diane Hart | Nurse Practitioner | 888 S Parsons Ave., Brandon, FL 33511 | 2019-03-13 |
1306303177 | Paula J Buchwald | Nurse Practitioner | 888 S. Parsons Ave, Brandon, FL 33511 | 2019-02-27 |
1063993996 | Ashlee Marie Shevchenko | Speech-Language Pathologist | 602 Vondeburg Dr, Suite 201, Brandon, FL 33511 | 2018-08-28 |
1275023012 | Ava Cares, LLC | Assisted Living Facility | 3005 Bell Shoals Rd., Brandon, FL 33511 | 2018-05-17 |
1346738705 | Tampa Psychology Group | Psychologist | 1463 Oakfield Dr Ste 109, Brandon, FL 33511 | 2018-05-01 |
1760982987 | Suresh Lama Tamang | Counselor | 510 Vonderburg Dr, Suite# 301, Brandon, FL 33511 | 2018-02-14 |
Find all providers in zip 33511 |
Taxonomy Code | 261QU0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Urgent Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285290130 | Synergic Healthcare Solutions LLC | Clinic/Center | 799 W Lumsden Rd, Brandon, FL 33511-6261 | 2019-05-16 |
1881171775 | American Current Care P.a . | Clinic/Center | 934 Oakfield Dr, Brandon, FL 33511-4950 | 2018-07-24 |
1851558191 | Parsons Walk-in Clinic Inc | Clinic/Center | 908 S Parsons Ave, Suite B, Brandon, FL 33511-6064 | 2008-05-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710588744 | Adventist Health System/ Sunbelt, Inc. | Clinic/Center | 3708 Sw College Rd, Ocala, FL 34474-4441 | 2020-11-05 |
1689273187 | American Urgent Care and Walk In Clinics LLC | Clinic/Center | 601 Gray Ave, Wildwood, FL 34785-3520 | 2020-10-26 |
1619575529 | Medec Urgent Care Pllc | Clinic/Center | 600 Garden St, Titusville, FL 32796-3489 | 2020-10-13 |
1144835182 | Adventist Health System/sunbelt, Inc | Clinic/Center | 11826 State Road 54, Odessa, FL 33556-3496 | 2020-09-15 |
1528671096 | Crucialist LLC | Clinic/Center | 4230 Pablo Professional Ct Ste 103, Jacksonville, FL 32224-3223 | 2020-08-25 |
1194334961 | Md Now Medical Centers Inc | Clinic/Center | 4332 Cortez Rd W, Bradenton, FL 34210-3139 | 2020-07-28 |
1558970327 | Md Now Medical Centers Inc | Clinic/Center | 15165 Mcgregor Blvd, Fort Myers, FL 33908-1957 | 2020-07-28 |
1386253151 | Md Now Medical Centers Inc | Clinic/Center | 12748 S Cleveland Ave, Fort Myers, FL 33907-3823 | 2020-07-28 |
1821607698 | Md Now Medical Centers Inc | Clinic/Center | 2609 Santa Barbara Blvd, Cape Coral, FL 33914-4457 | 2020-07-28 |
1366051435 | Md Now Medical Centers Inc | Clinic/Center | 9690 Glades Rd Unit 425, Boca Raton, FL 33434-3978 | 2020-07-24 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on PREMIUM HEALTH SERVICES OF TAMPA.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.