SUMMIT HEALTH MULTI SPECIALTY OF FLORIDA LLC (NPI# 1760080212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760080212 |
| Entity Type | Organization |
| Organization Name | SUMMIT HEALTH MULTI SPECIALTY OF FLORIDA LLC |
| Practice Address |
1881 W Kennedy Blvd Ste D Tampa FL 33606-1611 |
| Mailing Address |
3247 Q St Nw Ste 152 Washington DC 20007-3047 |
| Practice Telephone | 2404692181 |
| Mailing Telephone | 2404692181 |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2020-10-15 |
| Authorized Official Name | LAURA ADKINS (PRACTICE MANAGER) |
| Authorized Official Telephone | 8034730973 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
1881 W KENNEDY BLVD STE D |
| City | TAMPA |
| State | FL |
| Zip Code | 33606-1611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235758749 | Seyed Shayan Ahmad Falasiri | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd. #308, Tampa, FL 33606 | 2020-04-14 |
| 1174156400 | Jessica Styles | Specialist/Technologist | The University of Tampa, 401 W. Kennedy Blvd, Tampa, FL 33606 | 2020-02-14 |
| 1295389757 | David Green | Specialist/Technologist | 401 W. Kennedy Blvd Box: I, Tampa, FL 33606 | 2019-08-01 |
| 1417514720 | Four Winds Counseling LLC | Counselor | 611 West Bay Street, Tampa, FL 33606 | 2019-05-22 |
| 1699238014 | Azubuogu Charles Anudu | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd., Suite 308 Tampa, Fl 33606, Tampa, FL 33606 | 2019-04-11 |
| 1508327883 | D'arcy Jocelyn Arden Wainwright | Student in an Organized Health Care Education/Training Program | 17 David Blvd., Suite 308, Tampa, FL 33606 | 2019-03-28 |
| 1659851772 | Heather Widmer | Counselor | 202 N Howard Ave, Tampa, FL 33606 | 2018-08-17 |
| 1447737291 | Jonathan T Bell | Marriage & Family Therapist | 425 S. Orleans Ave, Tampa, FL 33606 | 2018-07-24 |
| 1184157539 | Alexander Lim | Student in an Organized Health Care Education/Training Program | 17 David Blvd, Suite 308, Tampa, FL 33606 | 2017-04-04 |
| 1760913057 | Melanie Loretta Bradley | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd. Suite 308, University of South Florida, Morsani College of Medicin, Tampa, FL 33606 | 2017-03-27 |
| Find all providers in zip 33606 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992302574 | Avita Medical Clinic, LLC | General Practice | 14831 N Florida Ave, Tampa, FL 33613-1825 | 2020-10-06 |
| 1619586757 | American Care of Tampa, Inc. | General Practice | 8340 Stone Run Ct, Tampa, FL 33615-1879 | 2020-07-24 |
| 1124652425 | Vivant Medical Group LLC | General Practice | 6214 Memorial Hwy Ste B, Tampa, FL 33615-4507 | 2020-02-25 |
| 1003453499 | Healmi Technologies, LLC | General Practice | 3109 W Dr Martin Luther King Jr Blvd Ste 111, Tampa, FL 33607-6237 | 2019-12-04 |
| 1023507407 | Mildred Catherine Conneely | General Practice | 1701 W Jetton Ave, Tampa, FL 33606-3026 | 2018-05-01 |
| 1144725557 | John Henry Hoenemeyer II | General Practice | 325 W Frierson Ave, Tampa, FL 33603-1932 | 2018-03-27 |
| 1568980464 | Drsoncalls | General Practice | 449 S 12th St., Unit 2801, Tampa, FL 33602 | 2017-08-31 |
| 1033635149 | Peak Payer Solutions, Inc. | General Practice | 12332 Race Track Road, Tampa, FL 33626 | 2017-08-21 |
| 1114457272 | Nodal Medical Center LLC | General Practice | 2123 W Dr Martin Luther King Jr Blvd Ste 101, Tampa, FL 33607-6545 | 2017-06-12 |
| 1831624014 | Blake Jeffrey Fernandez | General Practice | 6101 Webb Rd Ste 101, Tampa, FL 33615-2859 | 2017-04-26 |
| 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.