CORNERSTONE MEDICAL CARE OF BRANDON P L (NPI# 1124038989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124038989 |
| Entity Type | Organization |
| Organization Name | CORNERSTONE MEDICAL CARE OF BRANDON P L |
| Practice Address |
500 Vonderburg Dr E Tower Ste 102 Brandon FL 33511-5964 |
| Practice Telephone | 8136815658 |
| Practice Fax Number | 8136815250 |
| Mailing Telephone | 8136815658 |
| Mailing Fax Number | 8136815250 |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2013-05-10 |
| Authorized Official Name | DR. JULIO A ENRIQUEZ (MANAGING MEMBER) |
| Authorized Official Telephone | 8136815658 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 267292800 | 05 |
| Street Address |
500 VONDERBURG DR E TOWER STE 102 |
| City | BRANDON |
| State | FL |
| Zip Code | 33511-5964 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811998156 | Janelle Marie Kalle | Physician Assistant | 500 Vonderburg Dr, 102, Brandon, FL 33511-5964 | 2005-08-09 |
| 1174906143 | Sheena Alexander | Nurse Practitioner | 500 Vonderburg Dr, Suite 201, Brandon, FL 33511-5964 | 2015-07-08 |
| 1780009548 | Sunshine Pulmonary and Sleep Medicine P.a. | Internal Medicine | 500 Vonderburg Dr, East Tower, Suite 201 E, Brandon, FL 33511-5964 | 2014-03-03 |
| 1174868764 | Sally Jo Robelli | Nurse Practitioner | 500 Vonderburg Dr, Suite 311 West Tower, Brandon, FL 33511-5964 | 2012-12-07 |
| 1932458841 | Tanya Marie Singler | Nurse Practitioner | 500 Vonderburg Dr, 311w, Brandon, FL 33511-5964 | 2012-09-06 |
| 1790066975 | Tower Imaging Inc | Radiology | 500 Vonderburg Dr, Suite 111, Brandon, FL 33511-5964 | 2011-09-01 |
| 1083915136 | Husain F Nagamia Md Pa | Specialist | 500 Vonderburg Dr, Suite 203 East Tower, Brandon, FL 33511-5964 | 2010-11-05 |
| 1861792889 | Pravinchandra Zala Md Pa | Psychiatry & Neurology | 500 Vonderburg Dr, Ste 314 West, Brandon, FL 33511-5964 | 2010-10-25 |
| 1962710160 | W. Forrest Judson, Md, Pa | Plastic Surgery | 500 Vonderburg Dr, Suite 310w, Brandon, FL 33511-5964 | 2010-09-22 |
| 1215257779 | Ronnie Q. Wong | Family Medicine | 500 Vonderburg Dr, Ste 311w, Brandon, FL 33511-5978 | 2010-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295367555 | Ability Beyond Measures LLC. | Clinic/Center | 2705 Isabella Valley Court, Brandon, FL 33511 | 2020-02-05 |
| 1831744655 | Brandon Modern Dentistry, Pa | Dentist | 971 E. Bloomingdale Avenue, Brandon, FL 33511 | 2019-08-08 |
| 1487208922 | Heart and Vascular Center of Brandon, Pllc | Internal Medicine | 511 Medical Oaks Ave., Brandon, FL 33511 | 2019-08-01 |
| 1841842895 | Rebecca Harrelson | Counselor | 915 Oakfield Drive, Suite E, Brandon, FL 33511 | 2019-07-10 |
| 1043779713 | Cheryl Diane Hart | Nurse Practitioner | 888 S Parsons Ave., Brandon, FL 33511 | 2019-03-13 |
| 1306303177 | Paula J Buchwald | Nurse Practitioner | 888 S. Parsons Ave, Brandon, FL 33511 | 2019-02-27 |
| 1063993996 | Ashlee Marie Shevchenko | Speech-Language Pathologist | 602 Vondeburg Dr, Suite 201, Brandon, FL 33511 | 2018-08-28 |
| 1275023012 | Ava Cares, LLC | Assisted Living Facility | 3005 Bell Shoals Rd., Brandon, FL 33511 | 2018-05-17 |
| 1346738705 | Tampa Psychology Group | Psychologist | 1463 Oakfield Dr Ste 109, Brandon, FL 33511 | 2018-05-01 |
| 1760982987 | Suresh Lama Tamang | Counselor | 510 Vonderburg Dr, Suite# 301, Brandon, FL 33511 | 2018-02-14 |
| Find all providers in zip 33511 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346891751 | Careatc | Clinic/Center | 413 W Robertson St Ste A, Brandon, FL 33511-5014 | 2019-09-26 |
| 1407248792 | De Brigard Pediatrics, P.a | Clinic/Center | 711 N Parsons Ave, Brandon, FL 33510-3406 | 2015-02-24 |
| 1528459526 | Russell L. Carlisle, D.o. | Clinic/Center | 333 Willow Ridge Cv, Brandon, MS 39047-8089 | 2015-02-11 |
| 1689007080 | Suncoast Community Health Centers, Inc | Clinic/Center | 125 N Moon Ave Ste A, Brandon, FL 33510-4431 | 2013-08-21 |
| 1447514716 | Anita Patel Md Pa | Clinic/Center | 3427 Brook Crossing Dr, Brandon, FL 33511-8181 | 2012-07-01 |
| 1558639625 | Family Medical Express Center, Inc. | Clinic/Center | 122 S Moon Ave, Brandon, FL 33511-5110 | 2011-12-05 |
| 1104943604 | Langford Family Health, Inc | Clinic/Center | 100 Vine Drive, Brandon, MS 39047-5962 | 2007-03-22 |
| 1811923311 | Karen Baldwin Md Pa | Clinic/Center | 320 Oakfield Dr, Suite E, Brandon, FL 33511-5723 | 2006-06-25 |
| 1417556275 | Suncoast Community Health Center Inc | Clinic/Center | 313 S Lakewood Dr, Brandon, FL 33511-2815 | 2020-10-22 |
| 1578015152 | Careatc-city of Tampa Brandon | Clinic/Center | 413 W Robertson St, Suite A, Brandon, FL 33511-5014 | 2016-10-28 |
| Find all providers in BRANDON | ||||
Please comment or provide details below to improve the information on CORNERSTONE MEDICAL CARE OF BRANDON P L.
| 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.