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EXPRESS CARE OF TAMPA BAY
NPI 1790060366
Clinic/Center - Urgent Care in Brandon, FL

Active since October 14, 2011
107 W ROBERTSON ST, BRANDON, FL 33511(813) 651-4100(813) 651-4111 Get Directions Write a Review

NPPES record last updated: October 14, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Express Care Of Tampa Bay NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EXPRESS CARE OF TAMPA BAY (NPI 1790060366) is a healthcare organization registered as an urgent care in Brandon, Florida and active in the NPI registry since October 2011. The organization lists Khawaja A Rahman, President, as its authorized official.

NPPES Registry Identity

NPI1790060366
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NamePREMIUM HEALTH SERVICES OF TAMPA
Location Address107 W ROBERTSON STBrandon, FL 33511-5111
Mailing Address6015 Rex Hall LnApollo Beach, FL 33572-2657 · (813) 690-7589
Phone(813) 651-4100
Fax(813) 651-4111
Organization SubpartNo
Authorized OfficialKhawaja A RahmanPresident · (813) 651-4100
Enumeration DateOctober 14, 2011
✔ NPI 1790060366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
License✔ Licensed in FL · ME79013
107 W ROBERTSON ST, Brandon, FL 33511
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Other Names 1

Doing Business AsExpress Care Of Tampa Bay

Other Identifiers 3

Medicare UPING43463FL
Other49283VMedicare Individual
OtherME79013FL · Medical License

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FAMILY MEDICAL EXPRESS AND RIVERVIEW PEDIATRICS
Family Medicine
107 W ROBERTSON ST
BRANDON, FL 33511
Hillsborough County (813) 438-8947
JUAN L ALVAREZ DDS PA
Dentist (General Practice)
107 W ROBERTSON ST
BRANDON, FL 33511
Hillsborough County (813) 651-9411
EXPRESS CARE OF TAMPA BAY, INC
Internal Medicine (Critical Care Medicine)
107 W ROBERTSON ST
BRANDON, FL 33511
Hillsborough County (813) 651-4100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Premium Health Services Of Tampa's NPI number?

The NPI number for Premium Health Services Of Tampa is 1790060366. It was assigned to this organization in the NPPES registry on October 14, 2011. The provider is doing business as Express Care Of Tampa Bay.

Where is Premium Health Services Of Tampa located?

Premium Health Services Of Tampa is located at 107 W Robertson St, Brandon, FL 33511. The listed phone number is (813) 651-4100.

What is Premium Health Services Of Tampa's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

When was this NPI record last updated?

The NPPES record for Premium Health Services Of Tampa was last updated on October 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.