Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

The University of Tampa, Incorporated

Organization Sports Medicine (Family Medicine) Physician · NPI 1952056558

The University of Tampa, Incorporated provides Sports Medicine (Family Medicine) Physician services in Tampa, Florida. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

401 W Kennedy Blvd
Tampa, FL 33606-1450
Phone: (972) 367-4845
Fax: (972) 367-3451
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X

Record details

NPI number1952056558
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mouzon Bass — Administrator/Agent · (972) 367-4845
Other names University Of Tampa Athletics
NPI enumeratedFebruary 14, 2022
Last updated in NPPESFebruary 14, 2022
Certification dateFebruary 14, 2022
Mailing address15305 Dallas Pkwy Ste 800, Addison, TX 75001-6415

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