WEST FLORIDA PET SERVICES LLC (NPI# 1215008941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215008941 |
| Entity Type | Organization |
| Organization Name | WEST FLORIDA PET SERVICES LLC |
| Practice Address |
510 Vonderburg Dr Suite 3009 Brandon FL 33511-5980 |
| Practice Telephone | 8136574914 |
| Practice Fax Number | 8136574916 |
| Mailing Telephone | 8136574914 |
| Mailing Fax Number | 8136574916 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2008-12-03 |
| Authorized Official Name | MR. LAVELLE R HARDIN (ANALYST) |
| Authorized Official Telephone | 6153448203 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0207X |
Clinic/Center Specialization: Radiology, Mobile Mammography |
Ambulatory Health Care Facilities | ||
| N | 261QR0208X |
Clinic/Center Specialization: Radiology, Mobile |
Ambulatory Health Care Facilities | ||
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417953852 | West Florida Pet Services LLC | Clinic/Center | 427 South Parsons Ave, Suite 101, Brandon, FL 33511-5980 | 2005-06-21 |
| Street Address |
510 VONDERBURG DR SUITE 3009 |
| City | BRANDON |
| State | FL |
| Zip Code | 33511-5980 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710956206 | Richard J Eatroff | Specialist | 510 Vonderburg Dr, Suite 3005, Brandon, FL 33511-5980 | 2006-03-16 |
| 1013556158 | Michael J Mazucci-mambala | Social Worker | 510 Vonderburg Dr, Suite 301, Brandon, FL 33511-6072 | 2020-01-06 |
| 1720525710 | Sarah C Ortiz | Counselor | 510 Vonderburg Dr, Suite 301, Brandon, FL 33511-6072 | 2017-01-27 |
| 1679947576 | Joseph Theodore Stembler | Counselor | 510 Vonderburg Dr, #301, Brandon, FL 33511-5954 | 2015-11-17 |
| 1669866380 | Helene Dara Schwartz | Social Worker | 510 Vonderburg Dr, Suite 301, Brandon, FL 33511-5954 | 2015-03-19 |
| 1902204324 | Joseph Mushalansky | Chiropractor | 510 Vonderburg Dr, Ste 200, Brandon, FL 33511-5954 | 2014-12-17 |
| 1477962181 | Keila Mabel Fatnassi | Psychologist | 510 Vonderburg Dr, # 301, Brandon, FL 33511-5954 | 2014-08-06 |
| 1053735241 | Jennifer Chavarro Castillo | Counselor | 510 Vonderburg Dr, Suite 301, Brandon, FL 33511-5954 | 2014-02-10 |
| 1437573755 | Naomi Cadoret | Counselor | 510 Vonderburg Dr, Suite 301, Brandon, FL 33511-5954 | 2014-02-06 |
| 1568805679 | Concierge Care Tampa Bay LLC | General Practice | 510 Vonderburg Dr, Suite 213, Brandon, FL 33511-5954 | 2013-04-09 |
| 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 | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235181777 | Richard R Six | Radiology | 618 Vintage Way, Brandon, FL 33511-6366 | 2006-05-16 |
| 1124018338 | West Florida Imaging Services, LLC | Radiology | 122 Linsley Ave, Suite A, Brandon, FL 33511-5121 | 2005-10-27 |
| 1184620692 | Mark Douglas Nanni | Radiology | 613 Oakfield Dr, Brandon, FL 33511-5714 | 2005-06-21 |
| 1346677440 | Tower Imaging Inc | Radiology | 414 W Robertson St, Brandon, FL 33511-5007 | 2013-10-03 |
| 1629404140 | Radiology Associates of Tampa Pa | Radiology | 519 E Bloomingdale Ave Ste A, Brandon, FL 33511-8180 | 2013-09-16 |
| 1871781088 | Total Imaging-parsons LLC | Radiology | 427 S Parsons Ave, Suite 100, Brandon, FL 33511 | 2007-10-12 |
| 1073709952 | Maria Jimena Sanchez-carney | Radiology | 613 Oakfield Dr, Brandon, FL 33511-5714 | 2007-09-24 |
| 1114002094 | South Brandon Imaging LLC | Radiology | 737 W Brandon Blvd, Brandon, FL 33511-4901 | 2006-10-26 |
| 1588687891 | Mark H Jaffe | Radiology | 119 Oakfield Dr, Brandon, FL 33511-5779 | 2006-07-26 |
| 1508880535 | Keith Andrew Ferguson | Radiology | 613 Oakfield Dr, Tower Diagnostic Center, Brandon, FL 33511-5714 | 2006-07-26 |
| Find all providers in BRANDON | ||||
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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.