CONCIERGE CARE TAMPA BAY LLC (NPI# 1568805679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568805679 |
| Entity Type | Organization |
| Organization Name | CONCIERGE CARE TAMPA BAY LLC |
| Practice Address |
510 Vonderburg Dr Suite 213 Brandon FL 33511-5954 |
| Practice Telephone | 8136892961 |
| Practice Fax Number | 8136852348 |
| Mailing Telephone | 8136892961 |
| Mailing Fax Number | 8136852348 |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2013-04-09 |
| Authorized Official Name | DR. CHRIS MICHAEL NUSSBAUM (PRESIDENT) |
| Authorized Official Telephone | 8136892961 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 49552 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
510 VONDERBURG DR SUITE 213 |
| City | BRANDON |
| State | FL |
| Zip Code | 33511-5954 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710956206 | Richard J Eatroff | Specialist | 510 Vonderburg Dr, Suite 3005, Brandon, FL 33511-5980 | 2006-03-16 |
| 1013556158 | Michael J Mazucci-mambala | Social Worker | 510 Vonderburg Dr, Suite 301, Brandon, FL 33511-6072 | 2020-01-06 |
| 1720525710 | Sarah C Ortiz | Counselor | 510 Vonderburg Dr, Suite 301, Brandon, FL 33511-6072 | 2017-01-27 |
| 1679947576 | Joseph Theodore Stembler | Counselor | 510 Vonderburg Dr, #301, Brandon, FL 33511-5954 | 2015-11-17 |
| 1669866380 | Helene Dara Schwartz | Social Worker | 510 Vonderburg Dr, Suite 301, Brandon, FL 33511-5954 | 2015-03-19 |
| 1902204324 | Joseph Mushalansky | Chiropractor | 510 Vonderburg Dr, Ste 200, Brandon, FL 33511-5954 | 2014-12-17 |
| 1477962181 | Keila Mabel Fatnassi | Psychologist | 510 Vonderburg Dr, # 301, Brandon, FL 33511-5954 | 2014-08-06 |
| 1053735241 | Jennifer Chavarro Castillo | Counselor | 510 Vonderburg Dr, Suite 301, Brandon, FL 33511-5954 | 2014-02-10 |
| 1437573755 | Naomi Cadoret | Counselor | 510 Vonderburg Dr, Suite 301, Brandon, FL 33511-5954 | 2014-02-06 |
| 1972846814 | November Thea Church | Counselor | 510 Vonderburg Dr, Suite 301, Brandon, FL 33511-5954 | 2013-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295367555 | Ability Beyond Measures LLC. | Clinic/Center | 2705 Isabella Valley Court, Brandon, FL 33511 | 2020-02-05 |
| 1831744655 | Brandon Modern Dentistry, Pa | Dentist | 971 E. Bloomingdale Avenue, Brandon, FL 33511 | 2019-08-08 |
| 1487208922 | Heart and Vascular Center of Brandon, Pllc | Internal Medicine | 511 Medical Oaks Ave., Brandon, FL 33511 | 2019-08-01 |
| 1841842895 | Rebecca Harrelson | Counselor | 915 Oakfield Drive, Suite E, Brandon, FL 33511 | 2019-07-10 |
| 1043779713 | Cheryl Diane Hart | Nurse Practitioner | 888 S Parsons Ave., Brandon, FL 33511 | 2019-03-13 |
| 1306303177 | Paula J Buchwald | Nurse Practitioner | 888 S. Parsons Ave, Brandon, FL 33511 | 2019-02-27 |
| 1063993996 | Ashlee Marie Shevchenko | Speech-Language Pathologist | 602 Vondeburg Dr, Suite 201, Brandon, FL 33511 | 2018-08-28 |
| 1275023012 | Ava Cares, LLC | Assisted Living Facility | 3005 Bell Shoals Rd., Brandon, FL 33511 | 2018-05-17 |
| 1346738705 | Tampa Psychology Group | Psychologist | 1463 Oakfield Dr Ste 109, Brandon, FL 33511 | 2018-05-01 |
| 1760982987 | Suresh Lama Tamang | Counselor | 510 Vonderburg Dr, Suite# 301, Brandon, FL 33511 | 2018-02-14 |
| Find all providers in zip 33511 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780241729 | Southeast Reginald Solutions,pllc | General Practice | 310 River Forest Ln, Brandon, MS 39047-7020 | 2019-05-24 |
| 1700397239 | Marysol Camejo Romero | General Practice | 728 Benwick Dr, Brandon, MS 39047-8111 | 2017-10-24 |
| 1609284330 | Telehealthone, LLC | General Practice | 1037 Lake Village Cir, Suite A, Brandon, MS 39047-6725 | 2014-07-25 |
| 1700149143 | Orlando Enrique Mieles | General Practice | 500 Vonderburg Dr Ste 305, Brandon, FL 33511-5976 | 2012-06-20 |
| 1871850412 | Zulayne Vera | General Practice | 813 S Parsons Ave, Brandon, FL 33511-6063 | 2012-04-20 |
| 1205025277 | Valrico Medical Care, P.a. | General Practice | 143 N Oakwood Ave, Brandon, FL 33510-4629 | 2007-10-16 |
| 1871535393 | Aida Cuascut-reyes | General Practice | 653 W Lumsden Rd, Brandon, FL 33511-5911 | 2006-06-11 |
| 1417906611 | Dwic of Tampa Bay, Inc. | General Practice | 408 E Brandon Blvd, Brandon, FL 33511-5318 | 2006-05-08 |
| 1609853225 | Jorge L Acevedo Vazquez | General Practice | 501 Eichenfeld Dr, Ste 101, Brandon, FL 33511-5994 | 2005-12-23 |
| 1255325361 | Miguel Angel Mazariegos | General Practice | 205 S Moon Ave, Suite 105, Brandon, FL 33511-5716 | 2005-09-02 |
| Find all providers in BRANDON | ||||
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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.