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

The University of Tampa, Incorporated

Organization Sports Medicine (Family Medicine) Physician · NPI 1952056558

The University of Tampa, Incorporated is a Sports Medicine (Family Medicine) Physician 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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