FLORIDA PHYSICAL MEDICINE LLC (NPI# 1174622880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174622880 |
| Entity Type | Organization |
| Organization Name | FLORIDA PHYSICAL MEDICINE LLC |
| Practice Address |
2200 W Bay Dr Largo FL 33770-1929 |
| Practice Telephone | 7275182977 |
| Mailing Telephone | 7275182977 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | TONJE STEVENS (ADM.) |
| Authorized Official Telephone | 7275182977 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 111N00000X | Chiropractor | CH7815 | FL | Chiropractic Providers |
| X | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
OS 8925 | FL | Allopathic & Osteopathic Physicians |
| X | 111N00000X | Chiropractor | CH9310 | FL | Chiropractic Providers |
| Street Address |
2200 W BAY DR |
| City | LARGO |
| State | FL |
| Zip Code | 33770-1929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902804636 | Matthew Cusumano | Physical Medicine & Rehabilitation | 2200 W Bay Dr, Largo, FL 33770-1929 | 2005-07-07 |
| 1134228851 | Florida Physical Therapy,llc | Physical Therapist | 2200 W Bay Dr, Largo, FL 33770-1929 | 2006-09-21 |
| 1649298985 | Adam S Didio | Psychiatry & Neurology | 2200 W Bay Dr, Largo, FL 33770-1929 | 2006-07-17 |
| 1316947955 | Jeffrey Marc Moscow | Chiropractor | 2200 W Bay Dr, Largo, FL 33770-1929 | 2005-07-26 |
| 1649278383 | Christopher James Alepa | Chiropractor | 2200 W Bay Dr, Largo, FL 33770-1929 | 2005-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467005041 | Chelsey Lyn Shepos | Optometrist | 1030 West Bay Dr, Suite 200, Largo, FL 33770 | 2019-07-22 |
| 1407353626 | Michael E Ibrahim | Pharmacist | 1290 West Bay Drive, Largo, FL 33770 | 2018-04-13 |
| 1518413384 | Payton Kuhlenbeck | Anesthesiology | 210 14th Street Sw, Largo, FL 33770 | 2016-08-31 |
| 1639536865 | Ryan Boice | Physical Therapy Assistant | 118 West Bay Drive, Suite 111, Largo, FL 33770 | 2016-01-19 |
| 1508238858 | Alignment Healthcare Florida LLC | Clinic/Center | 1301 2nd Ave., Sw, Largo, FL 33770 | 2015-10-27 |
| 1891161808 | Jessica Nicole Mcglone | Nurse Practitioner | 601 Rosery Rd Ne Apt 1502, Largo, FL 33770 | 2015-08-12 |
| 1033598602 | Demetria Anderson | Counselor | 1301 Seminole Blvd Ste 103, Largo, FL 33770 | 2015-05-28 |
| 1962881821 | Building Blocks Therapy, Pllc | Community/Behavioral Health | 1301 Seminole Blvd Building A Suite 103, Largo, FL 33770 | 2015-05-26 |
| 1457765968 | Summer Moon | Dermatology | 115 Highland Ave N, Largo, FL 33770 | 2014-06-12 |
| 1578982393 | Lauren Elizabeth Grandpre | Emergency Medicine | 201 14th St. Sw, Largo Medical Center Emergency Department, Largo, FL 33770 | 2014-04-09 |
| Find all providers in zip 33770 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194346007 | Crystal Corona | Chiropractor | 12763 Cumberland Dr, Largo, FL 33773-1604 | 2020-05-01 |
| 1073154597 | Alicia M Orbea | Chiropractor | 1260 W Bay Dr Ste A, Largo, FL 33770-2249 | 2019-10-06 |
| 1730619081 | Randall Matulka | Chiropractor | 2310 Tall Pines Dr Ste 220, Largo, FL 33771-5349 | 2017-06-19 |
| 1255880233 | Blue Q Health and Wellness Pllc | Chiropractor | 2480 E Bay Dr Ste 13, Largo, FL 33771-2467 | 2016-10-01 |
| 1518339647 | Harting Spine and Joint LLC | Chiropractor | 2178 E Bay Dr, Largo, FL 33771-2323 | 2015-10-28 |
| 1043694250 | Julia Harter | Chiropractor | 9695 93rd St, Largo, FL 33777-2145 | 2015-07-17 |
| 1760746846 | Duyen Ngo | Chiropractor | 13119 66th St, Largo, FL 33773-1812 | 2012-07-03 |
| 1003192030 | Carmelo Ramirez IIi | Chiropractor | 405 Seminole Blvd, Largo, FL 33770-3620 | 2011-10-21 |
| 1154631570 | Keith W. Fady,d.c.p.a. | Chiropractor | 14100 Walsingham Rd, Suite 35, Largo, FL 33774-3248 | 2010-10-19 |
| 1346411295 | Michael K Roberts Dc Pa | Chiropractor | 2001 W Bay Dr, Largo, FL 33770-4920 | 2008-03-19 |
| Find all providers in LARGO | ||||
Please comment or provide details below to improve the information on FLORIDA PHYSICAL MEDICINE LLC.
| 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.