UGA STREET CLINIC – NPI #1316205123
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).

Health Care Provider Taxonomy Code for Clinic/Center

UGA STREET CLINIC is an AHC clinic located in TAMPA, FL. NPPES has assigned the NPI number 1316205123 to UGA STREET CLINIC on April 30, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “UGA STREET CLINIC” is a dba name, the actual legal business name for this organization is UGA STREET, INC. The primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for UGA STREET CLINIC below.

NPI Profile for
UGA STREET, INC

NPI Number
1316205123
Enumeration Date

(more than 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
UGA STREET, INC
Doing Business As (dba): UGA STREET CLINIC
Primary location
3302 E. MARTIN LUTHER KING JR BLVD. #101
TAMPA, FL 33610
Phone: (813) 248-1621 Fax: (813) 248-5408
Mailing address
PO BOX 310256
TAMPA, FL 33680-0256
Phone: (813) 248-1621 Fax: (813) 248-5408
Organization Subpart
Yes - UGA STREET CLINIC is subpart of another organization.
Authorized Official
CHRISTIAN NWOYE
PRESIDENT/CEO
Phone: (813) 248-1621
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261Q00000X
- Clinic/Center (Primary)		 FL HCC009401

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.