OrganizationActive
Premium Health Services of Tampa
NPI 1790060366 · Urgent Care Clinic/Center · Brandon, FL
Provider details
- NPI number
- 1790060366
- Entity type
- Organization
- Primary specialty
- Urgent Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Khawaja Rahman, President(813) 651-4100
- License
- ME79013 (FL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
107 W Robertson St
Brandon, FL 33511-5111
Phone: (813) 651-4100
Fax: (813) 651-4111
Street-level locationGet directions
Mailing address
6015 Rex Hall Ln
Apollo Beach, FL 33572-2657
Other names (DBA / former)
- Doing business as
- Express Care of Tampa Bay
Registry dates
- Enumerated
- 2011-10-14
- Last updated
- 2011-10-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.