FREEPATH PL (NPI# 1689867418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689867418 |
| Entity Type | Organization |
| Organization Name | FREEPATH PL |
| Practice Address |
4412 W Osborne Ave Tampa FL 33614-6963 |
| Practice Telephone | 2392781155 |
| Mailing Telephone | 2392781155 |
| Enumeration Date | 2007-08-24 |
| Last Update Date | 2007-08-24 |
| Authorized Official Name | JUDI RICHARDSON (CONTROLLER) |
| Authorized Official Telephone | 2392781155 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207NI0002X |
Dermatology Specialization: Clinical & Laboratory Dermatological Immunology |
Allopathic & Osteopathic Physicians |
| Street Address |
4412 W OSBORNE AVE |
| City | TAMPA |
| State | FL |
| Zip Code | 33614-6963 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376529206 | Susan E Lenahan | Dermatology | 4412 W Osborne Ave, Tampa, FL 33614-6963 | 2005-12-22 |
| 1902815384 | Aurora Florida LLC | Pathology | 4412 W Osborne Ave, Tampa, FL 33614-6963 | 2006-08-05 |
| 1013948363 | Alan M Freedman | Dermatology | 4412 W Osborne Ave, Tampa, FL 33614-6963 | 2006-07-05 |
| 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 | 207NI0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Clinical & Laboratory Dermatological Immunology |
| A dermatologist who utilizes various specialized laboratory procedures to diagnose disorders characterized by defective responses of the body's immune system. Immunodermatologists also may provide consultation in the management of these disorders and administer specialized forms of therapy for these diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801237599 | A and B Associates, Pa | Dermatology | 9526 Ne 2nd Ave Ste 103, Miami Shores, FL 33138-2750 | 2013-07-10 |
| 1992970784 | Mia Esthetics | Dermatology | 7660a Nw 186th St, Hialeah, FL 33015-2925 | 2008-04-23 |
| 1184758716 | Michael E Berman | Dermatology | 1411 White Street, Key West, FL 33040-4813 | 2007-03-15 |
| 1245257971 | Oscar E Saffold | Dermatology | 7652 Ashley Park Ct, Suite 305, Orlando, FL 32835 | 2006-07-17 |
| 1487042636 | Elias Dermatology LLC | Dermatology | 4610 N Federal Hwy, Fort Lauderdale, FL 33308-5206 | 2014-12-22 |
| 1487082079 | Derm Bar Md Holdings LLC | Dermatology | 318 Alhambra Cir, Coral Gables, FL 33134-5004 | 2013-10-17 |
| 1184814071 | Jennifer A Martinez | Dermatology | 7700 Sw 104 St, Miami, FL 33156 | 2007-07-27 |
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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.