TEMPLE TERRACE FAMILY PHYSICANS PA (NPI# 1376629089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376629089 |
| Entity Type | Organization |
| Organization Name | TEMPLE TERRACE FAMILY PHYSICANS PA |
| Practice Address |
13311 N 56th St Tampa FL 33617-1161 |
| Practice Telephone | 8138992015 |
| Practice Fax Number | 8139872700 |
| Mailing Telephone | 8138992015 |
| Mailing Fax Number | 8139872700 |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2008-03-05 |
| Authorized Official Name | DR. GEORGE R DAVIS (PHYSICIAN) |
| Authorized Official Telephone | 8138992015 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
OS5749 | FL | Ambulatory Health Care Facilities |
| Street Address |
13311 N 56TH ST |
| City | TAMPA |
| State | FL |
| Zip Code | 33617-1161 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265421994 | Camille Ann Caldwell | Nurse Practitioner | 13311 N 56th St, Tampa, FL 33617-1161 | 2005-10-15 |
| 1952833113 | Cicily Stanton | Family Medicine | 13311 N 56th St, Tampa, FL 33617-1161 | 2017-03-28 |
| 1770036873 | Danesis Socorro Perez | Nurse Practitioner | 13311 N 56th St, Tampa, FL 33617-1161 | 2016-07-26 |
| 1386038248 | Florida Medical Clinic, LLC | Family Medicine | 13311 N 56th St, Tampa, FL 33617-1161 | 2015-03-27 |
| 1750652590 | Nyree D Bryant | Family Medicine | 13311 N 56th St, Tampa, FL 33617-1161 | 2012-01-25 |
| 1437191244 | Sailesh Naresh Shah | Internal Medicine | 13311 N 56th St, Tampa, FL 33617-1161 | 2006-06-13 |
| 1740229558 | George R. Davis | Family Medicine | 13311 N 56th St, Tampa, FL 33617-1161 | 2006-06-06 |
| 1053370445 | Elizabeth Ann Larino | Nurse Practitioner | 13311 N 56th St, Tampa, FL 33617-1161 | 2006-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285253195 | Kare Medical Equipment Inc. | Durable Medical Equipment & Medical Supplies | 7860 North 56th Street, Tampa, FL 33617 | 2020-04-10 |
| 1942840467 | Care Medrx LLC | Pharmacy | 311 Bullard Pkwy Ste. B, Temple Terrace, FL 33617 | 2020-01-13 |
| 1467004804 | Favorite Care Services, LLC | In Home Supportive Care | 7628 N 56th St Ste 2, Tampa, FL 33617 | 2019-07-16 |
| 1982265625 | Promise Home Care Agency LLC | In Home Supportive Care | 315 Bahamas Ave, Tampa, FL 33617 | 2019-06-24 |
| 1164912754 | Superior Physician Group | Pain Medicine | 10730 N 56th St Ste 209, Temple Terrace, FL 33617 | 2018-05-18 |
| 1346738796 | Advanced Pain Management and Anesthesiology | Clinic/Center | 4209 E. Busch Blvd, Tampa, FL 33617 | 2018-05-01 |
| 1184112427 | Imperial Connections Support Programs, LLC | In Home Supportive Care | 9806 N Connechusett Rd, Tampa, FL 33617 | 2018-04-23 |
| 1609394204 | Erin E Sleeper | Behavior Technician | 418 Belle Claire Ave, Temple Terrace, FL 33617 | 2017-09-03 |
| 1720504293 | Robin A Kelly | Nurse's Aide | 7523 Pitch Pine Circle, Apt B, Tampa, FL 33617 | 2017-08-16 |
| 1174046023 | Rishita Amish Patel | Pharmacist | 532 Heritage Brook Cir, Apt #101, Temple Terrace, FL 33617 | 2017-07-24 |
| Find all providers in zip 33617 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720690704 | Celena Vinent Carbonell M.d., P.a. | Clinic/Center | 1001 N Macdill Ave Ste D, Tampa, FL 33607-5152 | 2020-08-20 |
| 1912528290 | Advanced Mobile Medical Services | Clinic/Center | 2136 W. Mlk Blvd, Tampa, FL 33607 | 2020-04-28 |
| 1356976401 | Healthworks Med Group of Florida P A | Clinic/Center | 8705 Henderson Rd, Tampa, FL 33634-1143 | 2020-03-10 |
| 1720639453 | Careatc | Clinic/Center | 4107 N Himes Ave Ste 101, Tampa, FL 33607-6645 | 2019-09-24 |
| 1023572591 | Cheryl A Reed Md LLC | Clinic/Center | 6101 Webb Rd Ste 207, Tampa, FL 33615-2865 | 2019-01-29 |
| 1629579339 | Ohc Primary LLC | Clinic/Center | 912 Channelside Dr Ste 2103, Tampa, FL 33602-4227 | 2018-02-27 |
| 1649778663 | Florida Advanced Acupuncture | Clinic/Center | 14003 N Dale Mabry Hwy, Tampa, FL 33618-2459 | 2018-01-24 |
| 1174895411 | Inspire Medical Clinic LLC | Clinic/Center | 9804 North 56th St., Tampa, FL 33617 | 2012-02-02 |
| 1891064275 | Ar Enterprises of Hillsborough County | Clinic/Center | 6323 Memorial Hwy # D-1, Tampa, FL 33615-4509 | 2011-12-14 |
| 1568782134 | West Tampa Medical Clinic | Clinic/Center | 2309 W Martin Luther King Jr Blvd, Suite 5, Tampa, FL 33607 | 2010-06-07 |
| Find all providers in TAMPA | ||||
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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.