GLORY MEDICAL CENTER & WEIGHT LOSS CLINIC
NPI 1801892963
Internal Medicine - Geriatric Medicine in Tampa, FL

Q: What is David Ikudayisi, MD, PA's NPI number?

The NPI number for David Ikudayisi, MD, PA is 1801892963. It was assigned to this organization in the NPPES registry on June 23, 2005. The provider is doing business as Glory Medical Center & Weight Loss Clinic.

Q: What is David Ikudayisi, MD, PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Active since June 23, 2005

3651B W WATERS AVE, TAMPA, FL 33614(813) 932-9798(813) 935-5178 Get Directions Write a Review

NPPES record last updated: October 30, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Glory Medical Center & Weight Loss Clinic NPPES

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

GLORY MEDICAL CENTER & WEIGHT LOSS CLINIC (NPI 1801892963) is a healthcare organization registered as a geriatric medicine in Tampa, Florida and active in the NPI registry since June 2005. The organization lists David Omotayo Ikudayisi, President/owner, as its authorized official.

NPPES Registry Identity

NPI1801892963

Entity TypeOrganization

Primary Taxonomy207RG0300X

Legal Business NameDAVID IKUDAYISI, MD, PA

Location Address3651B W WATERS AVETampa, FL 33614-2783

Mailing AddressPo Box 272450Tampa, FL 33688-2450

Phone(813) 932-9798

Fax(813) 935-5178

Organization SubpartNo

Authorized OfficialDavid Omotayo IkudayisiPresident/owner · (813) 932-9798

Enumeration DateJune 23, 2005

Last NPPES UpdateOctober 30, 2007

✔ NPI 1801892963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RG0300X

License✔ Licensed in FL · ME 87841

Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

Also ListedInternal MedicineTaxonomy 207R00000X · License ME 87841 (FL)

3651B W WATERS AVE, Tampa, FL 33614

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Other Names 1

Doing Business AsGlory Medical Center & Weight Loss Clinic

Other Identifiers 2

Medicare ID-Type UnspecifiedK5779FL

Medicare UPINI06806

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 David Ikudayisi, MD, PA's NPI number?

The NPI number for David Ikudayisi, MD, PA is 1801892963. It was assigned to this organization in the NPPES registry on June 23, 2005. The provider is doing business as Glory Medical Center & Weight Loss Clinic.

Where is David Ikudayisi, MD, PA located?

David Ikudayisi, MD, PA is located at 3651B W Waters Ave, Tampa, FL 33614. The listed phone number is (813) 932-9798.

What is David Ikudayisi, MD, PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

When was this NPI record last updated?

The NPPES record for David Ikudayisi, MD, PA was last updated on October 30, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.