DR. LUIZ ANTONIO LIARTE MARCONCINI (NPI# 1801144357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801144357 |
| Entity Type | Individual |
| Full Name | DR. LUIZ ANTONIO LIARTE MARCONCINI |
| Credential | MD |
| Practice Address |
3001 W Dr Martin Luther King Jr Blvd Fl 1 Tampa FL 33607 |
| Mailing Address |
Po Box 10744 Clearwater FL 33757-8744 |
| Practice Telephone | 8133216589 |
| Practice Fax Number | 8133216590 |
| Mailing Telephone | 7275320002 |
| Mailing Fax Number | 7272664943 |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2018-08-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | ME135146 | FL | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | MD458192 | PA | Allopathic & Osteopathic Physicians |
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
ME135146 | FL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | MT207795 | PA | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 100303600 | 05 |
| Street Address |
3001 W DR MARTIN LUTHER KING JR BLVD FL 1 |
| City | TAMPA |
| State | FL |
| Zip Code | 33607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659344463 | Don E Eslin | Pediatrics | 3001 W Dr Martin Luther King Jr Blvd Fl 1, Tampa, FL 33607-6307 | 2006-02-10 |
| 1912545666 | Sarah Aitchison | Nurse Practitioner | 3001 W Dr Martin Luther King Jr Blvd Fl 1, Tampa, FL 33607-6307 | 2019-12-12 |
| 1346710159 | Tina S Conner | Nurse Practitioner | 3001 W Dr Martin Luther King Jr Blvd Fl 1, Tampa, FL 33607-6307 | 2018-12-05 |
| 1982174876 | Katherine Margaret Martinez | Physician Assistant | 3001 W Dr Martin Luther King Jr Blvd Fl 1, Tampa, FL 33607-6307 | 2018-12-04 |
| 1801388830 | Joya Michelle Smith | Nurse Practitioner | 3001 W Dr Martin Luther King Jr Blvd Fl 1, Tampa, FL 33607-6307 | 2018-06-05 |
| 1578081543 | Taylor Ann Kress | Physician Assistant | 3001 W Dr Martin Luther King Jr Blvd Fl 1, Tampa, FL 33607-6307 | 2017-08-30 |
| 1568989317 | Kelly Lee Thatcher | Registered Nurse | 3001 W Dr Martin Luther King Jr Blvd Fl 1, Tampa, FL 33607 | 2017-08-23 |
| 1184158719 | Kelly W. Phillips | Registered Nurse | 3001 W Dr Martin Luther King Jr Blvd Fl 1, Tampa, FL 33607-6307 | 2017-04-20 |
| 1750831327 | Kari Michelle Hyotala | Nurse Practitioner | 3001 W Dr Martin Luther King Jr Blvd Fl 1, Tampa, FL 33607-6307 | 2016-10-07 |
| 1316320963 | Syeeta Joyce Mckelvie | Physician Assistant | 3001 W Dr Martin Luther King Jr Blvd Fl 1, Tampa, FL 33607-6307 | 2015-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326656265 | Sky City Pharmacy LLC | Pharmacy | 2812 W. Dr Martin Luther King Jr Blvd, Tampa, FL 33607 | 2020-07-16 |
| 1821614413 | Tammy Sue Alleyn | Social Worker | 4414 N. Armenia Av., Tampa, FL 33607 | 2020-06-19 |
| 1912528290 | Advanced Mobile Medical Services | Clinic/Center | 2136 W. Mlk Blvd, Tampa, FL 33607 | 2020-04-28 |
| 1659909232 | Rachel Sobiech | Social Worker | 2006 Pan Am Circle, Suite 270, Tampa, FL 33607 | 2020-03-30 |
| 1295379733 | Melizza Liz Sanchez Ayala | Registered Nurse | 1701 N Lois Avenue, Valera Apt Unit 224, Tampa, FL 33607 | 2019-10-28 |
| 1720647191 | Caretyme LLC | Clinic/Center | 1923 West St. John Street, Tampa, FL 33607 | 2019-06-10 |
| 1720545981 | Amante Medical and Diabetic Center, P.a. | Internal Medicine | 1001 N Macdill Ave. Suite B, Tampa, FL 33607 | 2019-02-25 |
| 1609360908 | Misty Dawn Ray Ross | Social Worker | 2902 N Armenia Ave Ste 200, Tampa, FL 33607 | 2018-06-20 |
| 1255825154 | Kenneth Konrad Schirer | Physical Therapist | 2700 W Dr. Mlk Blvd, Suite 300, Tampa, FL 33607 | 2018-06-14 |
| 1902314875 | Cardiac Cin of Florida, LLC | Internal Medicine | 3001 W Martin Luther King Jr Blvd, Tampa, FL 33607 | 2018-01-13 |
| Find all providers in zip 33607 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194343210 | Jayaben Patel | Internal Medicine | 11818 Shire Wycliffe Ct, Tampa, FL 33626-3329 | 2020-07-07 |
| 1134464910 | Dae Won Kim | Internal Medicine | Moffitt Cancer Center 12902 Magnolia Drive, Tampa, FL 33612 | 2012-12-04 |
| 1366649881 | Tampa Bay Oncology-hematology Associates | Internal Medicine | 4910 N Armenia Ave, Tampa, FL 33603-1402 | 2007-06-28 |
| 1427068493 | Lewis E Auerbach | Internal Medicine | 2111 W. Swann Ave., Suite 102, Tampa, FL 33606-2478 | 2006-08-09 |
| 1750303905 | Tawee Tanvetyanon | Internal Medicine | H. Lee Moffitt Cancer Center, 12902 Magnolia Drive, Tampa, FL 33613 | 2006-07-24 |
| 1174571699 | Ron D Schiff | Internal Medicine | 3238 Cove Bend Dr, Tampa, FL 33613-2752 | 2006-05-05 |
| 1841273943 | Jawan Corine Ayer-cole | Internal Medicine | 800 W Dr Martin Luther King Jr Blvd, Ste4, Tampa, FL 33603-3320 | 2005-11-22 |
| 1669475158 | Jose Leonel Ochoa-bayona | Internal Medicine | 12902 Usf Magnolia Dr, Fob 3 Bmt, Tampa, FL 33612-9416 | 2005-05-27 |
| 1538691381 | Alexandre Mark Tungesvik | Internal Medicine | 17 Davis Blvd Ste 308, Tampa, FL 33606-3438 | 2017-03-31 |
| 1588110639 | Abdul Rashid Shah | Internal Medicine | 12902 Magnolia Drive, H.lee Moffitt Cancer Center and Research Institute, Tampa, FL 33612 | 2016-08-29 |
| 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.