PHYSICIAN PARTNERS OF AMERICA FLORIDA MEDICAL HOLDINGS LLC (NPI# 1386026342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386026342 |
| Entity Type | Organization |
| Organization Name | PHYSICIAN PARTNERS OF AMERICA FLORIDA MEDICAL HOLDINGS LLC |
| Other Organization Name | FLORIDA PRIMARY CARE CLINICS |
| Practice Address |
4726 N Habana Ave Suite 203 Tampa FL 33614-7144 |
| Mailing Address |
4730 N Habana Ave Suite 204 Tampa FL 33614-7163 |
| Practice Telephone | 8135492134 |
| Practice Fax Number | 8138701383 |
| Mailing Telephone | 8135492134 |
| Mailing Fax Number | 8138701383 |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2015-06-25 |
| Authorized Official Name | DAVID WOOD (MANAGER) |
| Authorized Official Telephone | 8135492134 |
| Is Organization Subpart | Y |
| Parent Organization Name | PHYSICIAN PARTNERS OF AMERICA FLORIDA MEDICAL HOLDINGS LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Florida Primary Care Clinics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932581071 | Physician Partners of America Florida Medical Holdings LLC | Physical Medicine & Rehabilitation | 4730 N Habana Ave, Suite 204, Tampa, FL 33614-7163 | 2015-06-25 |
| 1083001481 | Physician Partners of America Florida Medical Holdings LLC | Physician Assistant | 3450 E Fletcher Ave, Suite 130, Tampa, FL 33613-4655 | 2015-04-23 |
| Street Address |
4726 N HABANA AVE SUITE 203 |
| City | TAMPA |
| State | FL |
| Zip Code | 33614-7144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730188442 | Magdalena Bugarin-viera | Family Medicine | 4726 N Habana Ave, Suite 202, Tampa, FL 33614-7144 | 2005-07-15 |
| 1306250386 | Katherine Adelufosi | Registered Nurse | 4726 N Habana Ave, Suite 202, Tampa, FL 33614-7144 | 2014-06-17 |
| 1568776870 | Nasrin Erfanian | Psychologist | 4726 N Habana Ave, Suite 204, Tampa, FL 33614-7144 | 2010-07-28 |
| 1114155801 | Shirley A Barnes | Counselor | 4726 N Habana Ave, Tampa, FL 33614-7144 | 2009-07-01 |
| 1942447867 | Tampa Mri LLC | Radiologic Technologist | 4726 N Habana Ave, Suite 104, Tampa, FL 33614-7144 | 2009-01-14 |
| 1336303171 | Cynthia Alyce Maston | Social Worker | 4726 N Habana Ave, Tampa, FL 33614-7144 | 2008-07-10 |
| 1073782017 | Michelle Ann Whittier | Counselor | 4726 N Habana Ave, Suite 204, Tampa, FL 33614-7144 | 2008-02-25 |
| 1619146669 | Maureen J. Mcnulty | Counselor | 4726 N Habana Ave, Suite 204, Tampa, FL 33614-7144 | 2008-02-25 |
| 1912050600 | Sherrill J. Banghart | Counselor | 4726 N Habana Ave, Suite 204, Tampa, FL 33614-7144 | 2007-01-18 |
| 1104982628 | Earle C. Grey | Physician Assistant | 4726 N Habana Ave, Suite 103, Tampa, FL 33614-7144 | 2006-12-29 |
| 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 | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477153278 | Desirae A. Segura | Nurse Practitioner | 8218 Marauder Dr, Tampa, FL 33621-1426 | 2020-10-29 |
| 1750980173 | Vanessa P Criales | Nurse Practitioner | 4708 Pebblepointe Pl, Tampa, FL 33634-6271 | 2020-10-19 |
| 1023616778 | Latoya Tanique Sinclair | Nurse Practitioner | 4121 E Busch Blvd Apt 804, Tampa, FL 33617-5970 | 2020-10-14 |
| 1801403068 | Krystal G Solie | Nurse Practitioner | 14105 Mccormick Dr, Tampa, FL 33626-3019 | 2020-09-30 |
| 1578179784 | Brooke Sliman | Nurse Practitioner | 403 S Albany Ave Unit 2, Tampa, FL 33606-2180 | 2020-09-22 |
| 1538773791 | Cindy Irene Gearheart | Nurse Practitioner | 7712 W Powhatan Ave, Tampa, FL 33615-4133 | 2020-09-04 |
| 1447864921 | Kimberly Marie Hymiller | Nurse Practitioner | 4600 N Habana Ave Ste 13, Tampa, FL 33614-7123 | 2020-09-02 |
| 1508479841 | Andrea Mole | Nurse Practitioner | 5035 E Busch Blvd Ste 1a&1b, Tampa, FL 33617-5310 | 2020-08-26 |
| 1467065896 | Cho Yee Mon Maung | Nurse Practitioner | 2606 W Waters Ave, Tampa, FL 33614-1835 | 2020-08-25 |
| 1235741141 | Luis V Amat | Nurse Practitioner | 2301 W Clifton St, Tampa, FL 33603-1027 | 2020-08-21 |
| 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.