Express Care Of Tampa Bay

LBN: Premium Health Services Of Tampa
Express Care Of Tampa Bay is an health care organization with primary practice located at 107 W Robertson St , Brandon FL 33511-5111. The organization recently has only one registered license in Ambulatory Health Care Facilities / Urgent Care, which is considered as the primary health care specialty. Premium Health Services Of Tampa can be contacted via phone (813) 651-4100, or through Rahman, Khawaja A via phone (813) 651-4100.

Contact Information

Primary practice address
107 W Robertson St Brandon FL 33511-5111
Phone: (813) 651-4100
Fax: (813) 651-4111
Website:
Map and Directions
Authorized official contact:
Name: Rahman, Khawaja A Doctor of Medicine (MD)
Phone: (813) 651-4100

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Urgent Care 261QU0200X ME79013 Florida

Profile Details

NPI number 1790060366
LBN Legal business name Premium Health Services Of Tampa
DBA Doing business as Express Care Of Tampa Bay
Authorized official Rahman, Khawaja A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 14th, 2011
Last updated Oct 14th, 2011 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1790060366 NPPES
Other 49283V MEDICARE INDIVIDUAL
Other ME79013 MEDICARE INDIVIDUAL

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