JORGE J. LEAL, M.D., LLC. (NPI# 1376696963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376696963 |
| Entity Type | Organization |
| Organization Name | JORGE J. LEAL, M.D., LLC. |
| Practice Address |
4710 N Habana Ave Suite 407 Tampa FL 33614-7161 |
| Practice Telephone | 8133330647 |
| Practice Fax Number | 8135148620 |
| Mailing Telephone | 8133330647 |
| Mailing Fax Number | 8135148620 |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JORGE J LEAL (PRESIDENT) |
| Authorized Official Telephone | 8133330647 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | Managed Care Organizations |
| Street Address |
4710 N HABANA AVE SUITE 407 |
| City | TAMPA |
| State | FL |
| Zip Code | 33614-7161 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386648863 | Mcilwain Dental Specialists | Dentist | 4710 N Habana Ave, Ste 203, Tampa, FL 33614-7146 | 2005-06-13 |
| 1760890685 | Kelly Holton | Internal Medicine | 4710 N Habana Ave, Suite 300, Tampa, FL 33614-7161 | 2014-07-23 |
| 1417295072 | Leigh Ann Mcilwain | Dentist | 4710 N Habana Ave, Suite 203, Tampa, FL 33614-7161 | 2013-01-16 |
| 1518205160 | James E Mcilwain Jr. | Dentist | 4710 N Habana Ave, Suite 203, Tampa, FL 33614-7161 | 2013-01-16 |
| 1710225362 | Michael F Mcilwain | Dentist | 4710 N Habana Ave, Suite 203, Tampa, FL 33614-7161 | 2013-01-16 |
| 1326317306 | Richard Lewis Md Pa | Obstetrics & Gynecology | 4710 N Habana Ave, Suite 402, Tampa, FL 33614-7161 | 2011-12-21 |
| 1699056853 | Sohrab Shafii Md Pa | Obstetrics & Gynecology | 4710 N Habana Ave, Suite 304, Tampa, FL 33614-7161 | 2011-09-01 |
| 1942502422 | William A. Alonso Md,pa | Specialist | 4710 N Habana Ave, Suite 404, Tampa, FL 33614-7161 | 2010-12-03 |
| 1356650535 | Gerald H Dominguez, Md Pa | Internal Medicine | 4710 N Habana Ave, Ste #201, Tampa, FL 33614-7146 | 2010-10-05 |
| 1073824645 | Panagiotis Zervogiannis | Internal Medicine | 4710 N Habana Ave, Suite 300, Tampa, FL 33614-7161 | 2010-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134733082 | Robin Rollena Stewart | Home Health | 9537 Lazy Lane, Apt 302, Tampa, FL 33614 | 2020-09-08 |
| 1346885761 | David Joseph Page | Nurse Practitioner | St. Joseph's Behavioral Health Center, 4918 N. Habana Ave, Tampa, FL 33614 | 2019-11-08 |
| 1134687411 | Ramon Chang Adult Family Care Home LLC | Custodial Care Facility | 2607 W Humphrey St, Tampa, FL 33614 | 2019-03-06 |
| 1134600612 | Senior Point Assisted Living Facility, LLC | Assisted Living Facility | 2940 W Hillsborough Ave, Tampa, FL 33614 | 2018-08-23 |
| 1306361266 | Larry Valdes | Assisted Living Facility | 4402 W Minnehaha St, Tampa, FL 33614 | 2017-08-11 |
| 1982128062 | Jaime F Casellas Md Corp | Internal Medicine | 4600 N Habana Ave Suit #13, Tampa, FL 33614 | 2017-07-31 |
| 1891219119 | Waveney Gittens-williams | Alzheimer Center (Dementia Center) | 3706 W. Idle Wild Cir #203, Tampa, FL 33614 | 2017-07-28 |
| 1750811857 | Syerita Nicole Morris | Counselor | 6800 N Dale Marby Hwy, Ste 164, Tampa, FL 33614 | 2017-06-13 |
| 1447786124 | Lisa Moy | Case Manager/Care Coordinator | 4001 W. Dr. Martin Luther King Jr. Blvd., Tampa, FL 33614 | 2017-05-02 |
| 1750813804 | Joshua Martin Good | Physical Therapy Assistant | 3363 W. Waters Avenue, Suite 700, Tampa, FL 33614 | 2017-03-29 |
| Find all providers in zip 33614 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
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| 1184236192 | Blu Dog Solutions LLC | Point of Service | 8801 Hunters Lake Dr Apt 922, Tampa, FL 33647-2858 | 2020-08-20 |
| 1801210281 | Pride In-home Care | Point of Service | 5007 S Zion St, Tampa, FL 33611-3845 | 2014-02-06 |
| 1891011649 | Sunbelt Staffing | Point of Service | 12524 Race Track Rd., Tampa, FL 33626 | 2010-04-19 |
| 1578003059 | Cell Staff, LLC | Point of Service | 1715 N West Shore Blvd, Ste 410, Tampa, FL 33607-3925 | 2017-03-02 |
| 1053652735 | Papia Chiropractic Clinic | Point of Service | 1004 N Florida Ave, Tampa, FL 33602-3808 | 2013-03-06 |
| 1205183969 | Shatarri Harper | Point of Service | 4902 Eisenhower Blvd, Suite 315, Tampa, FL 33634-6310 | 2012-08-12 |
| 1184946857 | Town Medical and Rehab Center | Point of Service | 3214 W Tampa Bay Blvd, Tampa, FL 33607-6616 | 2010-02-23 |
| 1558596650 | Allen Investors and Pain Clinic Co, LLC | Point of Service | 7229 N Dale Mabry Hwy, Suite #8, Tampa, FL 33614-2699 | 2009-05-19 |
| 1083870489 | Mchale Group, LLC | Point of Service | 3314 Henderson Blvd, Suite 100-m, Tampa, FL 33609-2998 | 2008-08-05 |
| 1720286396 | Luis Nunez Md Pa | Point of Service | 6107 Memorial Hwy, Tampa, FL 33615-4596 | 2007-07-05 |
| 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.