TOMMY L LOUISVILLE MD PA


Address: 1801 Crystal Lake Dr, Lakeland, FL 33801-5979
Phone: 8639378886

TOMMY L LOUISVILLE MD PA (NPI# 1295143295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295143295
Entity Type Organization
Organization Name TOMMY L LOUISVILLE MD PA
Other Organization Name FIRST HELP URGENT CARE CLINIC LAKELAND
Practice Address 1801 Crystal Lake Dr
Lakeland
FL 33801-5979
Mailing Address 5626 Oberlin Dr
Suite 110
San Diego
CA 92121-1705
Practice Telephone 8639378886
Enumeration Date 2014-07-23
Last Update Date 2014-07-23
Authorized Official Name KENNY HEINE (VP OF OPERATIONS)
Authorized Official Telephone 8589641506
Is Organization Subpart Y
Parent Organization Name MEDVANTX, INC.

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332900000X Non-Pharmacy Dispensing Site ME46305 FL Suppliers

Other Provider/Organization Names

Other Name Type Code
First Help Urgent Care Clinic Lakeland Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1508274226 Tommy L Louisville Md Pa Non-Pharmacy Dispensing Site 235 N Commonwealth Ave, Polk City, FL 33868-8821 2014-07-25
1083022826 Tommy L Louisville Md Pa Non-Pharmacy Dispensing Site 1023 Us 27 S, Avon Park, FL 33825-5107 2014-07-24
1508012477 Tommy L Louisville Md Pa Clinic/Center 1598 Us 27 N, Avon Park, FL 33825-2151 2008-08-12
1093123838 Tommy L Louisville Md Pa Non-Pharmacy Dispensing Site 320 1st St S, Winter Haven, FL 33880-3501 2014-07-24

Office Location

Street Address 1801 CRYSTAL LAKE DR
City LAKELAND
State FL
Zip Code 33801-5979

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447259569 Basil Alexander Wilson Nurse Practitioner 1801 Crystal Lake Dr, Lakeland, FL 33801-5979 2005-07-20
1538781026 Jessica Turner Counselor 1801 Crystal Lake Dr, Lakeland, FL 33801-5979 2020-05-07
1225139496 Tommy Lee Louisville Specialist 1801 Crystal Lake Dr, Lakeland, FL 33801 2006-09-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508473802 Camryn Nichole White Assistant Behavior Analyst 301 South Florida Ave, Lakeland, FL 33801 2020-09-30
1932719242 Jimia Watkins Home Health Aide 2410 Lakeview St, Lakeland, FL 33801 2020-08-03
1396366886 Erin Zimmer Health Educator 491 Lake Parker Ave, Lakeland, FL 33801 2020-05-06
1013473206 Madelyn Claire Burley Occupational Therapist 1215 East Orange Street, Lakeland, FL 33801 2019-02-13
1992260319 Publix Super Markets, Inc. Durable Medical Equipment & Medical Supplies 1617 Us Highway 98 S, Lakeland, FL 33801 2019-02-11
1669908836 Integrative Physical Medicine of Lakeland LLC Specialist 1205 East Magnolia St, Suite 105, Lakeland, FL 33801 2017-05-10
1689111502 Daryl Dowding Counselor 390 Alcaia Rd., Lakeland, FL 33801 2017-01-30
1023481926 Joseph D'alessandro Specialist/Technologist 111 Lake Hollingsworth Dr Box 4334, Lakeland, FL 33801 2015-11-02
1588030894 Donna Lee Buckner Specialist/Technologist 111 Mosswood Road, Lakeland, FL 33801 2015-08-20
1144635780 Donna Paige Mccraney Nurse Practitioner 111 Lake Hollingsworth Drive, Florida Southern College Student Health Center, Lakeland, FL 33801 2014-06-23
Find all providers in zip 33801

Taxonomy Information

Taxonomy Code 332900000X
Grouping Suppliers
Classification Non-Pharmacy Dispensing Site

Taxonomy Definition

A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801258447 Chen Neighborhood Medical of South Lakeland, LLC Non-Pharmacy Dispensing Site 4715 S Florida Ave, Lakeland, FL 33813-2101 2016-03-23
1386173573 Medical Home Alliance LLC Non-Pharmacy Dispensing Site 4725 Us Highway 98 S Ste 102, Lakeland, FL 33812-4334 2017-06-09
1407218043 Chen Neighborhood Medical of North Lakeland, LLC Non-Pharmacy Dispensing Site 206 N Florida Ave, Lakeland, FL 33801-4902 2016-03-23

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1821699232 Orlando Dermatology Clinic LLC Non-Pharmacy Dispensing Site 118 W Orange St, Altamonte Springs, FL 32714-2537 2020-11-03
1447857339 Chen Neighborhood Medical Centers of South Florida, LLC Non-Pharmacy Dispensing Site 2445 Nw 62nd St, Miami, FL 33147-7740 2020-10-05
1437765823 South Miami Hospital, Inc Non-Pharmacy Dispensing Site 1228 S Pine Island Rd Ste 110, Plantation, FL 33324-4402 2020-09-21
1407460223 Daisy Lomadilla Boyer Non-Pharmacy Dispensing Site 11703 Holly Creek Dr, Riverview, FL 33569-3356 2020-08-31
1760091078 West Kendall Baptist Hospital, Inc. Non-Pharmacy Dispensing Site 14591 Sw 26th St, Miami, FL 33175-8038 2020-07-23
1821615436 South Miami Hospital, Inc Non-Pharmacy Dispensing Site 8400 Nw 53rd St Ste F106, Doral, FL 33166-4519 2020-06-30
1295358422 Ezze Pharma LLC Non-Pharmacy Dispensing Site 3105 Nw 107th Ave Ste 400, Doral, FL 33172-2215 2020-05-21
1871115436 Kempcare Inc. Non-Pharmacy Dispensing Site 840 Us Highway 1 Ste 435c, N Palm Beach, FL 33408-3829 2020-05-17
1427670595 Orlando Dermatology Clinic, LLC Non-Pharmacy Dispensing Site 3261 Us Highway 441/27 Ste F1, Fruitland Park, FL 34731-4495 2020-05-12
1518593177 Dedicated Senior Medical Center of Florida, LLC Non-Pharmacy Dispensing Site 2724 N Hiawassee Rd Ste 100, Orlando, FL 32818-3008 2020-03-16
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Competitor

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City LAKELAND
Zip Code 33801

Improve Information

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Dataset Information

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.

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