FAMILY CARE OF LAND O LAKES PA (NPI# 1073735833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073735833 |
| Entity Type | Organization |
| Organization Name | FAMILY CARE OF LAND O LAKES PA |
| Practice Address |
1942 Highland Oaks Blvd Suite A Lutz FL 33559-7410 |
| Practice Telephone | 8139483838 |
| Practice Fax Number | 8139490629 |
| Mailing Telephone | 8139483838 |
| Mailing Fax Number | 8139490629 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2011-05-04 |
| Authorized Official Name | MR. ROBERT BRUCE ROSEQUIST (OWNER) |
| Authorized Official Telephone | 8139483838 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 0048283 | FL | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | ME20601 | FL | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 0040424 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
1942 HIGHLAND OAKS BLVD SUITE A |
| City | LUTZ |
| State | FL |
| Zip Code | 33559-7410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902802952 | Stanley Evan Watkins | Internal Medicine | 1942 Highland Oaks Blvd, Suite A, Lutz, FL 33559-7410 | 2005-06-23 |
| 1821372129 | Cypress Creek Medical Spa | Internal Medicine | 1942 Highland Oaks Blvd, Suite A, Lutz, FL 33559-7410 | 2011-10-05 |
| 1619267663 | Allen Joseph Pusateri | Ophthalmology | 1942 Highland Oaks Blvd, Suite A, Lutz, FL 33559-7410 | 2011-04-11 |
| 1891917357 | Emily A Martin | Physician Assistant | 1942 Highland Oaks Blvd, Suite A, Lutz, FL 33559-7410 | 2007-05-03 |
| 1457577728 | Kristin Lao | Family Medicine | 1942 Highland Oaks Blvd, Suite A, Lutz, FL 33559-7410 | 2007-04-17 |
| 1144347808 | James D Cardinale | Physician Assistant | 1942 Highland Oaks Blvd, Suite A, Lutz, FL 33559-7410 | 2007-03-26 |
| 1801809363 | Beth Ann M Leaf | Physician Assistant | 1942 Highland Oaks Blvd, Suite A, Lutz, FL 33559-7410 | 2006-08-15 |
| 1427074350 | Jacqueline V Hartman | Pediatrics | 1942 Highland Oaks Blvd, Ste. B, Lutz, FL 33559-7410 | 2006-07-14 |
| 1912923830 | Richard A Wilde | Pediatrics | 1942 Highland Oaks Blvd, Ste. B, Lutz, FL 33559-7410 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285286930 | Mark Cutler Behm | Dentist | 25464 Grand Cypress Dr, Lutz, FL 33559 | 2019-07-12 |
| 1659837656 | B&b Florida Eye Care Pllc | Optometrist | 25434 Sierra Center Boulevard, Lutz, FL 33559 | 2019-02-14 |
| 1457821076 | Roxanne Juliet Beaton | Counselor | 23540 State Rd. 54, Lutz, FL 33559 | 2018-11-26 |
| 1073097275 | Ivelisse Lopez Garcia | Social Worker | 4840 Tampa Downs Blvd Lutz, Tampa, FL 33559 | 2018-09-24 |
| 1134601735 | Brandon Baker | Specialist/Technologist | 15111 Buckhorn Court, Lutz, FL 33559 | 2018-08-30 |
| 1003314162 | Alpha and Omega Resource Center | Day Training, Developmentally Disabled Services | 15115 19th Street, Lutz, FL 33559 | 2018-01-24 |
| 1609391432 | Kristi Faye Steuber | Behavior Technician | 24021 Timberset Court, Lutz, FL 33559 | 2017-08-14 |
| 1245786185 | Costco Wholesale Corporation | Hearing Aid Equipment | 2225 Grand Cypress Drive, Lutz, FL 33559 | 2016-08-31 |
| 1245620632 | Tamara Ibrahim | Pharmacist | 14905 Deer Meadow Drive, Lutz, FL 33559 | 2015-01-23 |
| 1932520004 | Nueva Vida Alf II Inc | Respite Care | 2827 Max Smith Rd, Lutz, FL 33559 | 2013-12-17 |
| Find all providers in zip 33559 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811514029 | Jenna Langford | Family Medicine | 1634 Audubon Trl, Lutz, FL 33549-9508 | 2020-07-03 |
| 1942712690 | Larry Joseph Luter | Family Medicine | 19741 Prince Benjamin Dr, Lutz, FL 33549-5018 | 2017-11-02 |
| 1033507348 | Myra C Gibson | Family Medicine | 4123 Highland Park Cir, Lutz, FL 33558-5314 | 2015-01-08 |
| 1629484373 | Rucha Kharwa Patel | Family Medicine | 18981 N Dale Mabry Hwy, Lutz, FL 33548-4981 | 2014-07-02 |
| 1427297241 | Living Wellness, LLC | Family Medicine | 19105 N Us Highway 41 Ste 200, Lutz, FL 33549-4206 | 2009-02-18 |
| 1427195809 | Myrtle Ridge Family Medicine, Pa | Family Medicine | 1539 Dale Mabry Hwy, 102, Lutz, FL 33548-3008 | 2007-02-01 |
| 1255375689 | Elisa J. Thompson | Family Medicine | 18923 State Road 54, Lutz, FL 33558-5268 | 2006-06-15 |
| 1114979952 | Eric Joseph Crall | Family Medicine | 4651 Van Dyke Rd, Lutz, FL 33558 | 2006-05-17 |
| 1740248384 | James A Sotrop | Family Medicine | 19021 N Dale Mabry Hwy, Lutz, FL 33548-4982 | 2006-05-03 |
| 1083672125 | Stephen Paul Meyer | Family Medicine | 18956 N Dale Mabry Hwy, Suite 102, Lutz, FL 33548-4915 | 2006-05-01 |
| Find all providers in LUTZ | ||||
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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.