UGA STREET, INC (NPI# 1316205123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316205123 |
| Entity Type | Organization |
| Organization Name | UGA STREET, INC |
| Other Organization Name | UGA STREET CLINIC |
| Practice Address |
3302 E. Martin Luther King Jr Blvd. #101 Tampa FL 33610 |
| Mailing Address |
Po Box 310256 Tampa FL 33680-0256 |
| Practice Telephone | 8132481621 |
| Practice Fax Number | 8132485408 |
| Mailing Telephone | 8132481621 |
| Mailing Fax Number | 8132485408 |
| Enumeration Date | 2012-04-30 |
| Last Update Date | 2012-04-30 |
| Authorized Official Name | CHRISTIAN NWOYE (PRESIDENT/CEO) |
| Authorized Official Telephone | 8132481621 |
| Authorized Official Credential | R.PH, |
| Is Organization Subpart | Y |
| Parent Organization Name | UGA STREET, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | HCC009401 | FL | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| UGA STREET CLINIC | Doing Business As Name - Organization |
| Street Address |
3302 E. MARTIN LUTHER KING JR BLVD. #101 |
| City | TAMPA |
| State | FL |
| Zip Code | 33610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184273161 | Mayra Iris Pesante Lopez | Behavior Technician | 10150 Highlands Manor Drive Suite 200, Tampa, FL 33610 | 2019-09-11 |
| 1902464381 | Ruth Hosen Milfort | Case Manager/Care Coordinator | 5707 N. 22nd Street, Tampa, FL 33610 | 2019-05-31 |
| 1265914626 | Universal Transportation Management Inc | Non-emergency Medical Transport (VAN) | 4108 N 22nd Street, Tampa, FL 33610 | 2018-09-02 |
| 1346759115 | Speedway Plus 2 Car Care Center LLCc | Residential Treatment Facility, Physical Disabilities | 8007 Glenoak Rd., Tampa, FL 33610 | 2017-09-25 |
| 1245757707 | Duy Dang | Behavioral Analyst | 4402 Claymore Dr Unit 203, Tampa, FL 33610 | 2017-08-25 |
| 1144745043 | Jonequa Baker | Home Health Aide | 709 North Castle Court, Tampa, FL 33610 | 2017-08-11 |
| 1619401338 | Dedicated Senior Medical Center East Tampa, LLC. | Non-Pharmacy Dispensing Site | 3128 East Hillsborough Avenue, Dedicated Senior Medical Center East Tampa, LLC., Tampa, FL 33610 | 2017-04-19 |
| 1669917423 | Olivia Anderson | Counselor | 10150 Highland Manor Dr Ste 200#108, Tampa, FL 33610 | 2017-01-03 |
| 1952779050 | Tampa Family Health Centers, Inc | Clinic/Center | 3100 E. Fletcher Avenue, Tampa, FL 33610 | 2015-09-04 |
| 1215303821 | Morissa Kidd | Technician, Other | 8062 Deerwood Circle, Tampa, FL 33610 | 2015-08-18 |
| Find all providers in zip 33610 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679173926 | Haven Medical Center, Inc. | Clinic/Center | 11961 N Florida Ave, Tampa, FL 33612-5213 | 2020-10-27 |
| 1396351110 | Claudia B Gonzalez | Clinic/Center | 7819 N Dale Mabry Hwy Ste 104, Tampa, FL 33614-3210 | 2020-09-17 |
| 1154936904 | El Sol Medical Center Inc | Clinic/Center | 2112 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6512 | 2020-09-09 |
| 1689287351 | Tampa Bay Medical Mental & Behavioral Health Services Inc | Clinic/Center | 8910 N Dale Mabry Hwy Ste 17, Tampa, FL 33614-1580 | 2020-08-24 |
| 1801428685 | Primera Health Center Inc | Clinic/Center | 7820 N Armenia Ave Ste A, Tampa, FL 33604-3852 | 2020-02-10 |
| 1295389153 | Tampa Wellness Group LLC | Clinic/Center | 3750 Gunn Hwy Ste 200, Tampa, FL 33618-8916 | 2019-07-30 |
| 1245899954 | Pain Free Acupuncture, LLC | Clinic/Center | 14195 Bruce B Downs Blvd Ste 2, Tampa, FL 33613-3805 | 2019-06-07 |
| 1205337961 | Rogers Memorial Hospital Inc | Clinic/Center | 2002 N Lois Ave Ste 400, Tampa, FL 33607-2394 | 2018-02-27 |
| 1952801581 | Max Health Wellness Corp | Clinic/Center | 6105 Memorial Hwy Ste S, Tampa, FL 33615-4506 | 2018-02-20 |
| 1427569920 | Undersea Oxygen Clinic LLC | Clinic/Center | 701 N West Shore Blvd Fl 3, Tampa, FL 33609-1122 | 2017-10-24 |
| Find all providers in TAMPA | ||||
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| 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.