SERGIO J JACINTO (NPI# 1558394114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558394114 |
Entity Type | Individual |
Full Name | SERGIO J JACINTO |
Credential | MD |
Practice Address |
4507 N Armenia Ave Tampa FL 33603-4742 |
Mailing Address |
4507 N Armenia Ave Tampa FL 33603-7770 |
Practice Telephone | 8138764100 |
Practice Fax Number | 8138764153 |
Mailing Telephone | 8138764100 |
Mailing Fax Number | 8138764153 |
Enumeration Date | 2006-07-08 |
Last Update Date | 2020-09-04 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 174400000X | Specialist | ME66271 | FL | Other Service Providers |
Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
ME66271 | FL | Allopathic & Osteopathic Physicians |
Street Address |
4507 N ARMENIA AVE |
City | TAMPA |
State | FL |
Zip Code | 33603-4742 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013426857 | Eddy Jose Lopez | Physician Assistant | 4507 N Armenia Ave, Tampa, FL 33603-2703 | 2017-09-25 |
1669807145 | Meredith L Mclerran | Nurse Practitioner | 4507 N Armenia Ave, Tampa, FL 33603-2703 | 2013-09-04 |
1528262342 | Odamis Rodriguez I | Clinic/Center | 4507 N Armenia Ave, Tampa, FL 33603-2703 | 2007-06-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700400959 | Jean V. Dieudonne | Pharmacist | 701 W. Dr Martin Luther King Blvd, Tampa, FL 33603 | 2020-06-03 |
1538791082 | Champion Wellness Center of The Heights | Chiropractor | 800 W Martin Luther King Jr Blvd, Suite 3, Tampa, FL 33603 | 2020-02-12 |
1700366010 | Marie A Brister Md LLC | Family Medicine | 508 W Dr Martin Luther King Jr Blvd Ste A, Tampa, FL 33603 | 2018-08-16 |
1619415197 | Riverside Recovery of Tampa, LLC | Substance Abuse Rehabilitation Facility | 4004 N. Riverside Dr., Tampa, FL 33603 | 2017-02-06 |
1306213194 | Jacqueline Dowgiallo | Case Manager/Care Coordinator | 4004 N Riverside Dr, Tampa, FL 33603 | 2015-08-27 |
1629487061 | Robin Ann Waters | Social Worker | 1016 W Hillsborough Ave, Tampa, FL 33603 | 2014-08-11 |
1831430453 | Cassandra Gonzalez | Social Worker | 1726 W Rio Vista Ave, Tampa, FL 33603 | 2013-03-06 |
1487908893 | Spine Injury Physicians LLC | Neurological Surgery | 607 W Martin Luther King Blvd, Suite 1, Tampa, FL 33603 | 2012-11-07 |
1861742124 | Joseph Timothy Candelore Jr. | Internal Medicine | 2333 W Hillsborough Ave Ste 160, Tampa, FL 33603 | 2012-09-14 |
1679835599 | Odessa Biandudi | Dentist | 825 West Martin Luther King Boulevard, Tampa, FL 33603 | 2012-06-15 |
Find all providers in zip 33603 |
Taxonomy Code | 2084N0402X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Neurology with Special Qualifications in Child Neurology |
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851638167 | Ernesto J. Millan Md. Pa. | Psychiatry & Neurology | 5110 N. Habana Ave. Suite #1, Tampa, FL 33614-6873 | 2013-01-07 |
1508895905 | Raymond Fernandez | Psychiatry & Neurology | 2508 W Virginia Ave, Suite B, Tampa, FL 33607-6326 | 2006-06-30 |
1215999446 | Bay Regional & Intl Inst. of Neurology, Inc | Psychiatry & Neurology | 2508 W. Saint Isabel Street, Suite A, Tampa, FL 33607-6380 | 2006-04-04 |
1659606606 | Carolyn M. Carey, Md, Pa | Psychiatry & Neurology | 12220 Bruce B Downs Blvd, Tampa, FL 33612-9201 | 2009-10-08 |
1174755110 | Eric Roberto Vernier | Psychiatry & Neurology | 508 S Habana Ave, Suite 340, Tampa, FL 33609-4181 | 2009-08-10 |
1437304102 | Carolyn M. Carey, Md, Pa | Psychiatry & Neurology | 2 Tampa General Cir, 7th Floor, Tampa, FL 33606-3603 | 2008-11-22 |
1700038361 | Sleepwell, Inc | Psychiatry & Neurology | 2508 W. Saint Isabel Street, Suite B, Tampa, FL 33607-6380 | 2008-10-15 |
1255581070 | Sagarika Nallu | Psychiatry & Neurology | 13101 Bruce B Downs Blvd, Mdc105, Tampa, FL 33612-3803 | 2008-09-29 |
1316158116 | Christine A Matarese | Psychiatry & Neurology | 17 Davis Blvd Ste 308, Tampa, FL 33606-3438 | 2007-05-24 |
1326264177 | Radhakrishna K. Rao | Psychiatry & Neurology | 2508 W. Saint Isabel Street, Suite A, Tampa, FL 33607-6380 | 2007-04-18 |
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.