YOUR BEST YOU, P.A.


Address: 15511 N Florida Ave, Suite 502, Tampa, FL 33613-1263
Phone: 8139362609

YOUR BEST YOU, P.A. (NPI# 1699217190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699217190
Entity Type Organization
Organization Name YOUR BEST YOU, P.A.
Other Organization Name PERSONALIZED PRIMARY & DIABETES SPECIALTY CARE
Practice Address 15511 N Florida Ave
Suite 502
Tampa
FL 33613-1263
Practice Telephone 8139362609
Practice Fax Number 8132524452
Mailing Telephone 8139362609
Mailing Fax Number 8132524452
Enumeration Date 2016-11-15
Last Update Date 2016-11-15
Authorized Official Name SHANI VANN DAVIS (OWNER, NURSE PRACTITIONER)
Authorized Official Telephone 8139362609
Authorized Official Credential PHD, ANP-BC, CDE
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM1300X Clinic/Center
Specialization: Multi-Specialty
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
FL MEDICARE PTAN IQ397A 01
FL MEDICARE PTAN (INDIV.) IQ399Z 01
FL MEDICAID ATN INDIV 636270 01
FL MEDICAID ATN GROUP 636246 01
NPI FOR YOUR BEST YOU, P.A. 1245693530 01
REMOVE THIS ADDRESS 2086 W. BUSCH BLVD. 01

Other Provider/Organization Names

Other Name Type Code
Personalized Primary & Diabetes Specialty Care Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1245693530 Your Best You, P.a. Registered Nurse 15511 N Florida Ave, Suite 502, Tampa, FL 33613-1263 2016-04-04

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities YOUR BEST YOU, P.A. 15511 N Florida Ave Ste 502, Tampa, FL 33613-1215

Office Location

Street Address 15511 N FLORIDA AVE
SUITE 502
City TAMPA
State FL
Zip Code 33613-1263

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NPI Name Taxonomy Address Enumeration
1922046846 Family Medical Centers of Tampa Bay Pa Family Medicine 15511 N Florida Ave, Suite 401, Tampa, FL 33613-1220 2006-06-03
1245693530 Your Best You, P.a. Registered Nurse 15511 N Florida Ave, Suite 502, Tampa, FL 33613-1263 2016-04-04
1306230180 Jemma B Sinclaire Chiropractor 15511 N Florida Ave, Suite 2 and 3, Tampa, FL 33613-1263 2015-03-19
1174943237 Dema Abdelmajid Nurse Practitioner 15511 N Florida Ave, Ste. 401, Tampa, FL 33613-1263 2014-04-16
1447671425 Jessica Dorey Walker Nurse Practitioner 15511 N Florida Ave, Tampa, FL 33613 2013-12-18
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1174781769 Mark G Leitner Dpm Pa Podiatrist 15511 N Florida Ave, Suite B2, Tampa, FL 33613-1263 2008-05-30
1952590028 Alan Joseph Iezzi Family Medicine 15511 N Florida Ave, Suite 401, Tampa, FL 33613-1220 2007-10-15
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Taxonomy Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

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Competitor

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City TAMPA
Zip Code 33613

Improve Information

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Dataset Information

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.

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