ADVANCE TAMPA BAY FOOT MEDICAL, LLC (NPI# 1821340225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821340225 |
| Entity Type | Organization |
| Organization Name | ADVANCE TAMPA BAY FOOT MEDICAL, LLC |
| Practice Address |
3325 W Gandy Blvd Tampa FL 33611-2931 |
| Mailing Address |
Po Box 13485 Tampa FL 33681-3485 |
| Practice Telephone | 8138313813 |
| Mailing Telephone | 8138313813 |
| Enumeration Date | 2012-10-09 |
| Last Update Date | 2017-05-11 |
| Authorized Official Name | DR. BENJAMIN Q LE (AUTHORIZE OFFICER) |
| Authorized Official Telephone | 8138313813 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
PO2234 | FL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 007286100 | 05 |
| Street Address |
3325 W GANDY BLVD |
| City | TAMPA |
| State | FL |
| Zip Code | 33611-2931 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912519224 | Health & Glow Primary Care & Med Spa LLC | Internal Medicine | 4331 S Manhattan Ave, Tampa, FL 33611 | 2020-08-18 |
| 1245867597 | Susannah M Bultron | Home Health | 1663 Williambrg Sq, 1663 Williambrg Sq, Tampa, FL 33611 | 2020-03-26 |
| 1265077499 | Jenna Davis | Counselor | 4517 S Shamrock Rd, Tampa, FL 33611 | 2019-11-12 |
| 1023585114 | Samantha Lee Hamlin | Dietitian, Registered | 4003 S West Shore Blvd, Apt 4810, Tampa, FL 33611 | 2018-10-27 |
| 1023502572 | Sunset Chiropractic P.a. | Chiropractor | 3826 South Dale Mabry Hwy, South Tampa, FL 33611 | 2018-06-19 |
| 1033654843 | Nicole A Devlieger | Specialist/Technologist | 4539 S Dale Mabry Hwy Ste 110, Tampa, FL 33611 | 2017-01-03 |
| 1740633064 | Charles Lindsey | Case Manager/Care Coordinator | 5215 South Westshore Blvd. #31, Tampa, FL 33611 | 2016-07-21 |
| 1699145078 | Sarah Milam | Physical Therapist | 3111 W.martin Luther King Jr Blvd, Suite # 500, Tampa, FL 33611 | 2015-09-29 |
| 1912399163 | Robert Robertson | Pharmacist | 4317 Gandy Blvd, Tampa, FL 33611 | 2015-02-25 |
| 1730514225 | Charles Samuel Mahan | Obstetrics & Gynecology | 3111 E. Fletcher Av., Tampa, FL 33611 | 2013-09-04 |
| Find all providers in zip 33611 | ||||
| Taxonomy Code | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457791865 | Thanh Binh Vu Nguyen | Podiatrist | 13801 Bruce B Downs Blvd Ste 205, Tampa, FL 33613-3937 | 2013-06-29 |
| 1912121450 | Gabrielle G Gagliardi | Podiatrist | 2835 W De Leon St Ste 101, Tampa, FL 33609-4130 | 2007-04-13 |
| 1982670873 | Steven Baker | Podiatrist | 2511w. Martin L. King Blvd, Tampa, FL 33607 | 2006-02-28 |
| 1548236490 | Joel M Levy | Podiatrist | 2511 W. Dr. Martin L. King Blvd. Jr, Tampa, FL 33607 | 2006-02-28 |
| 1477103778 | Michele Fleeter | Podiatrist | 5218 W Neptune Way, Tampa, FL 33609-3639 | 2019-09-18 |
| 1851705529 | Bret Brennan | Podiatrist | 13801 Bruce B Downs Blvd Ste 205, Tampa, FL 33613-3937 | 2014-06-20 |
| 1194858225 | Barry C Blass | Podiatrist | 1020 W Hillsborough Ave, Tampa, FL 33603-1312 | 2007-03-14 |
| 1982756706 | Advanced Podiatry Pa | Podiatrist | 13801 Bruce B Downs Blvd, Suite 205, Tampa, FL 33613-3946 | 2007-01-18 |
| 1154332021 | Catherine Stanimirov | Podiatrist | 1001 N Macdill Ave Ste B, Tampa, FL 33607-5152 | 2006-08-10 |
| 1679540983 | Nannette Diaz | Podiatrist | 3355 W Bearss Ave, Tampa, FL 33618-2100 | 2006-03-06 |
| 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.