EDWARD D. TRIBUZIO, M.D., P.A. (NPI# 1891063509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891063509 |
| Entity Type | Organization |
| Organization Name | EDWARD D. TRIBUZIO, M.D., P.A. |
| Practice Address |
1340 S 18th St Suite 204 Fernandina Beach FL 32034-4799 |
| Practice Telephone | 9042610643 |
| Mailing Telephone | 9042610643 |
| Enumeration Date | 2011-12-08 |
| Last Update Date | 2011-12-08 |
| Authorized Official Name | DR. EDWARD DOMINICK TRIBUZIO (OWNER/PHYSICIAN) |
| Authorized Official Telephone | 9042610643 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | FLME42515 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 067854600 | 05 |
| Street Address |
1340 S 18TH ST SUITE 204 |
| City | FERNANDINA BEACH |
| State | FL |
| Zip Code | 32034-4799 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174501571 | Edward Dominick Tribuzio | Family Medicine | 1340 S 18th St, Suite 204, Fernandina Beach, FL 32034-4799 | 2006-01-05 |
| 1972901866 | Erin Weems | Physician Assistant | 1340 S 18th St, Building A, Suite 202, Fernandina Beach, FL 32034 | 2014-12-09 |
| 1073886065 | Baptist Cardiology, Inc. | Internal Medicine | 1340 S 18th St, Building A, Suite 202, Fernandina Beach, FL 32034-4799 | 2012-02-22 |
| 1962704569 | Jessie Freeh Hiott | Physician Assistant | 1340 S 18th St, Building A, Suite 200, Fernandina Beach, FL 32034-4799 | 2010-12-02 |
| 1952582660 | Sammy Perkins Md PC | Surgery | 1340 S 18th St, Suite 104, Fernandina Beach, FL 32034-4799 | 2007-11-21 |
| 1477761625 | Bruce S. West | Clinic/Center | 1340 S 18th St, Ste. 203, Fernandina Beach, FL 32034-4799 | 2007-05-20 |
| 1780738765 | Samuel E Perkins Jr. | Surgery | 1340 S 18th St, Suite 104, Fernandina Beach, FL 32034-4733 | 2007-01-23 |
| 1952325763 | Susan W Llarena | Physician Assistant | 1340 S 18th St, #204, Fernandina Beach, FL 32034-4799 | 2006-07-26 |
| 1134145659 | Ackerman Cancer Center, P.a. | Radiology | 1340 S 18th St, Suite 103, Fernandina Beach, FL 32034-4799 | 2006-07-15 |
| 1588632780 | Bruce Stewart West | Pediatrics | 1340 S 18th St, #203, Fernandina Beach, FL 32034-4799 | 2006-03-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871059899 | Anna Fn Chu | Dietitian, Registered | Baptist Medical Center Nassau, 1250 South 18th Street, Fernandina Beach, FL 32034 | 2019-02-14 |
| 1841784550 | Kelly Ann Sayers | Social Worker | 1890 S 14th St Ste 110, Fernandina Beach, FL 32034 | 2018-06-15 |
| 1609302611 | Christian Giovanniello | Behavior Technician | 1743 Azalea Street, Fernandina Beach, FL 32034 | 2017-05-11 |
| 1770018467 | Beckerton Chiropractic Pllc | Chiropractor | 464073 East State Road 200, Yulee, FL 32034 | 2017-05-01 |
| 1114392438 | Jayde Marie Gray | Chiropractor | 5211 South Fletcher Ave., Suite 250, Amelia Island, FL 32034 | 2015-12-11 |
| 1760858369 | Sun Gallery Inc. | Eyewear Supplier (Equipment, not the service) | 1523 Sadler Road, Fernandina Beach, FL 32034 | 2015-08-18 |
| 1124419718 | Angela L Michels | Counselor | 1890 S. 14th St., #302, Fernandina Beach, FL 32034 | 2015-02-18 |
| 1336542075 | Sara Veronica Herreros | Physician Assistant | 1865 Lime Street, Suite 100, Fernandina Beach, FL 32034 | 2014-10-08 |
| 1366789471 | Elizabeth Ann Moore | Nurse Practitioner | 1348 S 18th St Ste 340, Fernandina Beach, FL 32034 | 2013-01-09 |
| 1043564289 | Summer Suzanne Delille | Dental Hygienist | 95054 Oriole St., Fernandina Beach, FL 32034 | 2012-11-08 |
| Find all providers in zip 32034 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275714214 | Baptist Primary Care Inc | Family Medicine | 1864 Lime St, Suite 5, Fernandina Beach, FL 32034-4795 | 2007-11-19 |
| 1710950050 | David P Page | Family Medicine | 220 S 14th St, Fernandina Beach, FL 32034-3216 | 2006-02-08 |
| 1174501571 | Edward Dominick Tribuzio | Family Medicine | 1340 S 18th St, Suite 204, Fernandina Beach, FL 32034-4799 | 2006-01-05 |
| 1124002522 | Diana R Twiggs | Family Medicine | 1888 S 14th St, Credentialing Department, Fernandina Beach, FL 32034-3054 | 2005-11-30 |
| 1649584079 | Physicians Group Services Pa | Family Medicine | 1865 Lime St, Suite 101, Fernandina Beach, FL 32034-4744 | 2010-07-27 |
| 1710157102 | Baptist Primary Care Inc | Family Medicine | 1864 Lime St, Suite 6, Fernandina Beach, FL 32034-4795 | 2008-03-03 |
| 1508054388 | Diana R Twiggs Md | Family Medicine | 1888 S 14th St, Fernandina Beach, FL 32034-3054 | 2007-10-05 |
| 1720047137 | Jacob Blum | Family Medicine | 1888 S 14th St, Credentialing Department, Fernandina Beach, FL 32034-3054 | 2006-03-23 |
| 1912972530 | Daniel James Matricia | Family Medicine | 96279 Brady Point Rd, Fernandina Beach, FL 32034-7076 | 2006-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841891777 | Medical Risk Solutions LLC | Family Medicine | 455 Ishie Ave, Bronson, FL 32621-6204 | 2020-11-06 |
| 1801497953 | Wildwood Primary Care Associates | Family Medicine | 5814 Seven Mile Dr Ste 105, Wildwood, FL 34785-8869 | 2020-11-05 |
| 1053912238 | New Port Richey Primary Care Associates | Family Medicine | 4772 Us Highway 19, New Port Richey, FL 34652-4944 | 2020-11-04 |
| 1053912550 | Wound Integrity Florida Pa | Family Medicine | 111 Ne 1st St # 1011, Miami, FL 33132-2506 | 2020-11-03 |
| 1902407455 | Trek Healthcare LLC | Family Medicine | 11767 S Dixie Hwy # 208, Pinecrest, FL 33156-4438 | 2020-11-02 |
| 1700486933 | Orlando Jorge Diaz | Family Medicine | 6231 Sw 138th Ct Apt N, Miami, FL 33183-2095 | 2020-10-27 |
| 1255930871 | Haymee Rodriguez | Family Medicine | 18751 Sw 295th Ter, Homestead, FL 33030-2310 | 2020-10-23 |
| 1033718986 | Jason Wittlin | Family Medicine | 601 Sw 242nd Ter, Newberry, FL 32669-4495 | 2020-10-21 |
| 1457950420 | Paxton Medical Management | Family Medicine | 14279 Tamiami Trl, North Port, FL 34287-2215 | 2020-10-21 |
| 1679172779 | Flagler Family Nursing Home Care LLC | Family Medicine | 130 Healthpark Blvd, St Augustine, FL 32086-5776 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
| City | FERNANDINA BEACH |
| Zip Code | 32034 |
Please comment or provide details below to improve the information on EDWARD D. TRIBUZIO, M.D., P.A..
| 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.