Glory Medical Center & Weight Loss Clinic – Geriatric Medicine (Internal Medicine) Physician, NPI 1801892963

Glory Medical Center & Weight Loss Clinic is a healthcare provider. based in Tampa, Florida. specializing in Geriatric Medicine (Internal Medicine) Physician. The organization holds a License No. ME 87841 (FL). The NPI Number for Glory Medical Center & Weight Loss Clinic is 1801892963

Main info

Organization
Name
Glory Medical Center & Weight Loss Clinic
NPI
1801892963
Phone
Not provided
Address
PO BOX 272450
Authorized Official
MR. DAVID OMOTAYO IKUDAYISI PRESIDENT/OWNER MD
Enumeration Date
23 June 2005
Last Update Date
30 October 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness80
Years active:20State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for Glory Medical Center & Weight Loss Clinic

  • 5 Tee Box, East Fletcher Avenue, Tampa, Hillsborough County, Florida, 33620, United States

    TAMPA, FL 336882450

    Phone:

    Type: Mailing

  • West Waters Avenue, Sulphur Springs, Tampa, Hillsborough County, Florida, 33634, United States

    TAMPA, FL 336142783

    Phone: (813) 932-9798

    Fax: (813) 935-5178

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33688)

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Reviews

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Frequently asked questions

What federal number belongs to Glory Medical Center & Weight Loss Clinic?
The federal identifier for Glory Medical Center & Weight Loss Clinic is NPI 1801892963.
Is Glory Medical Center & Weight Loss Clinic active in the national directory?
Glory Medical Center & Weight Loss Clinic's public NPI profile is in an active state.
What kind of provider is Glory Medical Center & Weight Loss Clinic?
The page reflects Geriatric Medicine (Internal Medicine) Physician for Glory Medical Center & Weight Loss Clinic. Clinical services aligned with this taxonomy classification.
Where does public data place Glory Medical Center & Weight Loss Clinic?
The snapshot lists Tampa, Florida for Glory Medical Center & Weight Loss Clinic; download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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