1013977891 NPI number — TABSAFE MEDICAL SERVICES, INC.

Table of content: (NPI 1013977891)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1013977891 NPI number — TABSAFE MEDICAL SERVICES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TABSAFE MEDICAL SERVICES, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1013977891
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/21/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1050 NORTHFIELD CT
Provider Second Line Business Mailing Address:
SUITE 100
Provider Business Mailing Address City Name:
ROSWELL
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30076-3825
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
678-990-8450
Provider Business Mailing Address Fax Number:
678-990-8456

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
12505 STARKEY RD
Provider Second Line Business Practice Location Address:
STE C
Provider Business Practice Location Address City Name:
LARGO
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33773-2621
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
727-230-0839
Provider Business Practice Location Address Fax Number:
727-230-0844
Provider Enumeration Date:
03/24/2006

Additional Information

Authorized Official

Authorized Official Last Name:
STOKES
Authorized Official First Name:
RICHARD
Authorized Official Middle Name:
FRANKLAND
Authorized Official Title or Position:
EXECUTIVE VICE PRESIDENT
Authorized Official Telephone Number:
678-990-8450

Provider Taxonomy Codes

  • Taxonomy code: 333600000X , with the licence number:  PH20058 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com