Organization
EXPRESS CARE OF TAMPA BAY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA KAY GOMES (BILLING MANAGER)
(866) 420-4254
Entity
Organization
Contact information
Practice address
107 W ROBERTSON ST, BRANDON, FL 33511-5111
(813) 651-4100
(813) 651-4111
Mailing address
6496 N US HIGHWAY 41, APOLLO BEACH, FL 33572-1804
(813) 651-4100
(813) 651-4111
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME71027
FL
207R00000X
Internal Medicine Physician
ME79013
FL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
ME71027
FL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
ME79013
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10560801
CITRUS GROUP UC
FL
01
—
B903U
BCBS GROUP UC
FL
01
—
DB9962
RR MCARE GROUP
FL
05
—
MCAID ID #
—
FL
Enumeration date
01/22/2007
Last updated
09/11/2025
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