Healthcare Provider Details

I. General information

NPI: 1598315251
Provider Name (Legal Business Name): WEBMED NETWORK LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2019
Last Update Date: 02/07/2025
Certification Date: 02/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4700 N HABANA AVE STE 600
TAMPA FL
33614-7121
US

IV. Provider business mailing address

10801 STARKEY RD # 104-404
SEMINOLE FL
33777-1159
US

V. Phone/Fax

Practice location:
  • Phone: 888-536-9854
  • Fax:
Mailing address:
  • Phone: 866-536-9854
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0802X
TaxonomyAddiction Psychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: BOBBY HARPER
Title or Position: CHIEF OPERATING OFFICER
Credential:
Phone: 727-202-4650