SAMUEL BORRELLI (NPI# 1861805905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861805905 |
| Entity Type | Individual |
| Full Name | SAMUEL BORRELLI |
| Credential | M.D. |
| Practice Address |
3901 Coconut Palm Dr Ste 120 Tampa FL 33619-8362 |
| Mailing Address |
899 N Orange Ave Apt 514 Orlando FL 32801-1156 |
| Practice Telephone | 8132896597 |
| Practice Fax Number | 8657693454 |
| Mailing Telephone | 7274224283 |
| Enumeration Date | 2014-06-06 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | ME133210 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 022316800 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5501 Old York Rd, Philadelphia, PA 191413018 | 2154567890 |
| Street Address |
3901 COCONUT PALM DR STE 120 |
| City | TAMPA |
| State | FL |
| Zip Code | 33619-8362 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740288521 | Achyut Natvarial Gandhi | Emergency Medicine | 3901 Coconut Palm Dr Ste 120, Tampa, FL 33619-8362 | 2005-07-14 |
| 1386179109 | Ngoc Bich Luong | Physician Assistant | 3901 Coconut Palm Dr Ste 120, Tampa, FL 33619-8362 | 2017-04-30 |
| 1235661356 | Montoo G. Patel | Nurse Anesthetist, Certified Registered | 3901 Coconut Palm Dr Ste 120, Tampa, FL 33619-8362 | 2017-03-29 |
| 1336686534 | Jill M Huntzinger | Nurse Practitioner | 3901 Coconut Palm Dr Ste 120, Tampa, FL 33619 | 2017-01-25 |
| 1043503436 | Abduljabbar Al Tekreeti | Internal Medicine | 3901 Coconut Palm Dr Ste 120, Tampa, FL 33619-8362 | 2011-05-18 |
| 1962567552 | Kevin Gormley | Counselor | 3901 Coconut Palm Dr Ste 120, Tampa, FL 33619-8362 | 2006-12-26 |
| 1881708782 | Ewa D. Piszczek | Internal Medicine | 3901 Coconut Palm Dr Ste 120, Tampa, FL 33619-8362 | 2006-08-18 |
| 1952335390 | Steven M Schwartz | Emergency Medicine | 3901 Coconut Palm Dr Ste 120, Tampa, FL 33619-8362 | 2006-07-10 |
| 1992746879 | After Hours Pediatrics, Inc. | Pediatrics | 3901 Coconut Palm Dr Ste 120, Tampa, FL 33619 | 2006-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740706787 | Nuevo Amanecer Tampa, LLC | Assisted Living Facility | 7405 Aripeka Dr, Tampa, FL 33619 | 2017-08-22 |
| 1144742396 | Florida Family Primary Care Centers of Tampa, LLC | Pediatrics | 7444 Palm River Dr, Tampa, FL 33619 | 2017-07-10 |
| 1750817110 | Ajaa Love Care Services | Home Health | 8905 Tidewater Trail, Tampa, FL 33619 | 2017-05-04 |
| 1073064127 | Tampa General Medical Group Inc | Internal Medicine | 10740 Palm River Road, Ste 360, Tampa, FL 33619 | 2016-10-24 |
| 1598116741 | Austin Chase | Chiropractor | 10081 E Adamo Dr, Tampa, FL 33619 | 2016-06-29 |
| 1841667003 | Healthworks Med Group of Florida Pa | General Practice | 9527 Delaney Creek Blvd, Tampa, FL 33619 | 2015-08-24 |
| 1962883371 | A Plus Alliance Home Care Agency, LLC | Home Health | 1503 South Hwy 301 Suite 13, Tampa, FL 33619 | 2015-06-11 |
| 1285026377 | Fatty Ademola Aderoju | Pharmacist | 5701 Hillsborough Ave, Tampa, FL 33619 | 2015-02-26 |
| 1942692504 | Henry Fate Corporation | Home Health | 9325 Bay Plaza Blvd, Suite 205, Tampa, FL 33619 | 2015-02-19 |
| 1598189938 | Willie Ruth Miller | Custodial Care Facility | 4812 S. 86th St, Tampa, FL 33619 | 2014-02-05 |
| Find all providers in zip 33619 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
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|---|---|---|---|---|
| 1912519224 | Health & Glow Primary Care & Med Spa LLC | Internal Medicine | 4331 S Manhattan Ave, Tampa, FL 33611 | 2020-08-18 |
| 1326665779 | Complete Integrative Medical Clinic, LLC. | Internal Medicine | 2835 W De Leon St Ste 102, Tampa, FL 33609-4130 | 2020-07-01 |
| 1649807553 | Physician Partners Associated, LLC | Internal Medicine | 4704 N Armenia Ave, Tampa, FL 33603-2619 | 2020-03-23 |
| 1417583956 | William F Mcgrogan Md Pllc | Internal Medicine | 2919 W Swann Ave Ste 402, Tampa, FL 33609-4083 | 2020-03-17 |
| 1679120471 | Printha Md Internal Medicine Inc | Internal Medicine | 5420 Webb Rd Ste B1, Tampa, FL 33615-3255 | 2019-08-26 |
| 1184185001 | A Plus Medcare LLC | Internal Medicine | 7211 N Dale Mabry Hwy Ste 100, Tampa, FL 33614-2669 | 2019-03-26 |
| 1770040685 | Skalan LLC | Internal Medicine | 14917 Smitter Reserve Dr, Tampa, FL 33618-2205 | 2019-02-27 |
| 1720545981 | Amante Medical and Diabetic Center, P.a. | Internal Medicine | 1001 N Macdill Ave. Suite B, Tampa, FL 33607 | 2019-02-25 |
| 1568926038 | Karadayi Health Inc | Internal Medicine | 2916 W Bayshore Ct, Tampa, FL 33611-2808 | 2019-01-29 |
| 1881178242 | Angel Medical Clinic, LLC | Internal Medicine | 8001 N Dale Mabry Hwy Ste 701, Tampa, FL 33614-3218 | 2018-09-21 |
| 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.