DOCTORS DIET PROGRAM OF SOUTH FLORIDAPLLC (NPI# 1043718034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043718034 |
| Entity Type | Organization |
| Organization Name | DOCTORS DIET PROGRAM OF SOUTH FLORIDAPLLC |
| Practice Address |
3345 S Dale Mabry Hwy Tampa FL 33629-7817 |
| Practice Telephone | 8138393438 |
| Mailing Telephone | 8138393438 |
| Enumeration Date | 2018-01-25 |
| Last Update Date | 2018-01-25 |
| Authorized Official Name | JAMES LOWRANCE (ADMINISTRATOR) |
| Authorized Official Telephone | 8138393438 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | DRIVERS LIC | L652453703740 | 01 |
| Street Address |
3345 S DALE MABRY HWY |
| City | TAMPA |
| State | FL |
| Zip Code | 33629-7817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609174358 | Urgicare Tampa, LLC | Family Medicine | 3345 S Dale Mabry Hwy, Tampa, FL 33629-7817 | 2011-03-04 |
| 1952958571 | Jaden Shapiro | Physician Assistant | 3345 S Dale Mabry Hwy, Tampa, FL 33629-7817 | 2019-08-19 |
| 1710541065 | Michael Ryan Hoard | Physician Assistant | 3345 S Dale Mabry Hwy, Tampa, FL 33629-7817 | 2019-04-23 |
| 1740750215 | Kimberly Frack | Nurse Practitioner | 3345 S Dale Mabry Hwy, Tampa, FL 33629 | 2018-11-28 |
| 1467838862 | A Plus Family Urgent Care LLC | Clinic/Center | 3345 S Dale Mabry Hwy, Tampa, FL 33629-7817 | 2015-08-07 |
| 1558758466 | Komal Patel | Physician Assistant | 3345 S Dale Mabry Hwy, Tampa, FL 33629-7817 | 2015-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689162612 | Jake Morris | Counselor | 4003 W Morrison Ave, Tampa, FL 33629 | 2018-04-25 |
| 1689192411 | Madalyn Turner | Chiropractor | 3409 W Bay To Bay Blvd Ste B, Tampa, FL 33629 | 2017-08-31 |
| 1063865673 | South Tampa Dental Studio | Dentist | 4306 West Kensington Ave., Tampa, FL 33629 | 2016-07-19 |
| 1093198160 | Mi Ae Kwon | Dentist | 3739 W. Neptune St., Tampa, FL 33629 | 2015-07-07 |
| 1013394568 | Etairos Health, Inc | In Home Supportive Care | 2301 W Palm Ave, Tampa, FL 33629 | 2015-05-05 |
| 1053702589 | Kantilal N. Bhadja, Md | Internal Medicine | 4223 W. El Prado Blvd, Tampa, FL 33629 | 2015-02-05 |
| 1801174016 | Wang & Cortes Dental | Dentist | 1008 South Clearview Avenue, Tampa, FL 33629 | 2011-07-22 |
| 1174826176 | Jada Rae Danielle Traub | Behavioral Analyst | 3271 S. Macdill Ave, Tampa, FL 33629 | 2010-12-13 |
| 1275849846 | Kara Dawson | Physical Therapy Assistant | 3614 South Dale Mabry, Tampa, FL 33629 | 2010-08-20 |
| 1225350580 | Monteleone & Kessler, P.l. | Dentist | 4014 W. Estrella St., Suite B, Tampa, FL 33629 | 2010-02-26 |
| Find all providers in zip 33629 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679173926 | Haven Medical Center, Inc. | Clinic/Center | 11961 N Florida Ave, Tampa, FL 33612-5213 | 2020-10-27 |
| 1396351110 | Claudia B Gonzalez | Clinic/Center | 7819 N Dale Mabry Hwy Ste 104, Tampa, FL 33614-3210 | 2020-09-17 |
| 1154936904 | El Sol Medical Center Inc | Clinic/Center | 2112 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6512 | 2020-09-09 |
| 1689287351 | Tampa Bay Medical Mental & Behavioral Health Services Inc | Clinic/Center | 8910 N Dale Mabry Hwy Ste 17, Tampa, FL 33614-1580 | 2020-08-24 |
| 1801428685 | Primera Health Center Inc | Clinic/Center | 7820 N Armenia Ave Ste A, Tampa, FL 33604-3852 | 2020-02-10 |
| 1295389153 | Tampa Wellness Group LLC | Clinic/Center | 3750 Gunn Hwy Ste 200, Tampa, FL 33618-8916 | 2019-07-30 |
| 1245899954 | Pain Free Acupuncture, LLC | Clinic/Center | 14195 Bruce B Downs Blvd Ste 2, Tampa, FL 33613-3805 | 2019-06-07 |
| 1205337961 | Rogers Memorial Hospital Inc | Clinic/Center | 2002 N Lois Ave Ste 400, Tampa, FL 33607-2394 | 2018-02-27 |
| 1952801581 | Max Health Wellness Corp | Clinic/Center | 6105 Memorial Hwy Ste S, Tampa, FL 33615-4506 | 2018-02-20 |
| 1427569920 | Undersea Oxygen Clinic LLC | Clinic/Center | 701 N West Shore Blvd Fl 3, Tampa, FL 33609-1122 | 2017-10-24 |
| Find all providers in TAMPA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.