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).
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. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332900000X | Non-Pharmacy Dispensing Site | ME46305 | FL | Suppliers |
Other Name | Type Code |
---|---|
First Help Urgent Care Clinic Lakeland | Doing Business As Name - Organization |
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 |
Street Address |
1801 CRYSTAL LAKE DR |
City | LAKELAND |
State | FL |
Zip Code | 33801-5979 |
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 |
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 Code | 332900000X |
Grouping | Suppliers |
Classification | Non-Pharmacy Dispensing Site |
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] |
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 |
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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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.