Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Northdale Family Dr

Organization Family Medicine Physician · NPI 1285024380

Northdale Family Dr is a Family Medicine Physician in Tampa, Florida. Licensed in Florida. Registered with an NPI since 2015.

Licensed in
FL
In the registry since
2015

Practice location Address checks out

3865 Northdale Blvd
Tampa, FL 33624-1861
Phone: (813) 960-4401
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME0070225 (FL)

Record details

NPI number1285024380
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Yakub Pothiawala — Medical Doctor · (813) 960-4401
NPI enumeratedJanuary 27, 2015
Last updated in NPPESJanuary 27, 2015
Mailing address3865 Northdale Blvd, Tampa, FL 33624-1861

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