JUDE MEDICAL CLINIC LLC (NPI# 1821270380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821270380 |
| Entity Type | Organization |
| Organization Name | JUDE MEDICAL CLINIC LLC |
| Practice Address |
2700 E Bay Dr Ste 101 Largo FL 33771-2468 |
| Practice Telephone | 7275316700 |
| Mailing Telephone | 7275316700 |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2007-11-27 |
| Authorized Official Name | KAYODE SOTONWA (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 7275316700 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
ME90545 | FL | Ambulatory Health Care Facilities |
| Street Address |
2700 E BAY DR STE 101 |
| City | LARGO |
| State | FL |
| Zip Code | 33771-2468 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285601591 | Peter Miles Mason | Podiatrist | 2700 E Bay Dr, Suite 100, Largo, FL 33771-2468 | 2006-03-06 |
| 1669851457 | Benjamin Jared Gubernick | Student in an Organized Health Care Education/Training Program | 2700 E Bay Dr, Largo, FL 33771-2468 | 2015-05-26 |
| 1982957312 | Ryan Mcfadden | Dentist | 2700 E Bay Dr, Largo, FL 33771-2468 | 2012-10-23 |
| 1033439971 | Kristie Lynn Johnson | Dentist | 2700 E Bay Dr, Largo, FL 33771-2468 | 2010-06-02 |
| 1780914689 | Adam Vincent Bergman | Dentist | 2700 E Bay Dr, Suite 106, Largo, FL 33771-2468 | 2009-12-28 |
| 1497982912 | Joshua A Wyatt | Dentist | 2700 E Bay Dr, Largo, FL 33771-2468 | 2009-06-11 |
| 1356548960 | Todd Patrick Williams | Dentist | 2700 E Bay Dr, Suite 204, Largo, FL 33771-2468 | 2007-06-27 |
| 1972709939 | Harley Scott Bellack | Dentist | 2700 E Bay Dr, Largo, FL 33771-2468 | 2007-06-26 |
| 1710182555 | Stephen Carroll Warner Sr. | Dentist | 2700 E Bay Dr, Largo, FL 33771-2468 | 2007-06-20 |
| 1720283583 | John James Feeney | Dentist | 2700 E Bay Dr, Largo, FL 33771-2468 | 2007-06-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558970822 | Keys2health LLC | Nurse Practitioner | 1050 Starkeyrd. Unit 606, Largo, FL 33771 | 2020-07-23 |
| 1194210906 | Agape Gem Care LLC | In Home Supportive Care | 2945 E Bay Dr Ste A, Largo, FL 33771 | 2018-06-25 |
| 1487162723 | Aim Medical Supply, Inc | Durable Medical Equipment & Medical Supplies | 8380 Ulmerton Rd Ste 302, Largo, FL 33771 | 2018-01-22 |
| 1629511720 | Jane Maguire Inc | Counselor | 1101 Belcher Rd. S., Suite J., Largo, FL 33771 | 2016-11-22 |
| 1477890283 | Celisa K Bonner | Social Worker | 13787 Belcher Road S., Suite 220, Largo, FL 33771 | 2013-01-14 |
| 1619283330 | Mary J. Martin | Counselor | 1101 S. Belcher Rd, Suite E, Largo, FL 33771 | 2010-08-19 |
| 1578796538 | Miguel Messina | Counselor | 1501 S. Belcher Rd, Suite B-4, Largo, FL 33771 | 2009-08-25 |
| 1255569943 | Zozan Al Saadi | Family Medicine | 7050 Ulmerton Rd, Largo, FL 33771 | 2009-07-01 |
| 1104060391 | Letitia A Mcintosh-reid | Behavioral Analyst | 940 Starkey Road, # 3105, Largo, FL 33771 | 2009-05-01 |
| 1063665867 | East Bay Family Practice LLC | Family Medicine | 3387 3391 Easy Bay Drive, Largo, FL 33771 | 2008-10-24 |
| Find all providers in zip 33771 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760810816 | Medical Aesthetic Arts | Clinic/Center | 2520 W Bay Dr, Largo, FL 33770-1935 | 2013-10-29 |
| 1447758586 | Bunch Health LLC | Clinic/Center | 11200 Seminole Blvd Ste 204, Largo, FL 33778-3240 | 2018-01-23 |
| 1316068166 | Deborah A Burke Md Plc | Clinic/Center | 360 Clearwater Largo Rd N, Largo, FL 33770-2335 | 2007-04-02 |
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| 1881234102 | Better Health and Rehab | Clinic/Center | 4136 Berkshire Loop, Lakeland, FL 33813-4465 | 2020-01-14 |
| 1578105573 | Venous Solutions of Florida Inc | Clinic/Center | 506 E Tipton Rd, Plant City, FL 33567-9373 | 2019-10-10 |
| 1841847597 | Premier Medical Concierge, LLC | Clinic/Center | 9655 Tamiami Trl N Ste 202, Naples, FL 34108-2796 | 2019-08-19 |
| 1487214342 | Patrick Robinson Md LLC | Clinic/Center | 12630 Curley St Ste 104, San Antonio, FL 33576-8095 | 2019-06-13 |
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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.