Glory Medical Center & Weight Loss Clinic

LBN: David Ikudayisi, Md, Pa
Glory Medical Center & Weight Loss Clinic is an health care organization with primary practice located at 3651B W Waters Ave , Tampa FL 33614-2783. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is the primary health care specialty. David Ikudayisi, Md, Pa can be contacted via phone (813) 932-9798, or through Ikudayisi, David Omotayo via phone (813) 932-9798.

Contact Information

Primary practice address
3651B W Waters Ave Tampa FL 33614-2783
Phone: (813) 932-9798
Fax: (813) 935-5178
Website:
Map and Directions
Authorized official contact:
Name: Ikudayisi, David Omotayo Doctor of Medicine (MD)
Phone: (813) 932-9798

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME 87841 Florida
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X ME 87841 Florida

Profile Details

NPI number 1801892963
LBN Legal business name David Ikudayisi, Md, Pa
DBA Doing business as Glory Medical Center & Weight Loss Clinic
Authorized official Ikudayisi, David Omotayo Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 23rd, 2005
Last updated Oct 30th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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