Healthcare Provider Details

I. General information

NPI: 1730610213
Provider Name (Legal Business Name): UNNATI WARDAN D.O
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2017
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3010 W AZEELE ST STE 100
TAMPA FL
33609-3577
US

IV. Provider business mailing address

3010 W AZEELE ST STE 100
TAMPA FL
33609-3577
US

V. Phone/Fax

Practice location:
  • Phone: 813-251-0194
  • Fax: 813-254-0279
Mailing address:
  • Phone: 813-251-0194
  • Fax: 813-254-0279

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberOS16927
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberUO5439
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberOS16927
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: