PRODIGEE INVESTMENT GROUP LLC (NPI# 1902431794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902431794 |
| Entity Type | Organization |
| Organization Name | PRODIGEE INVESTMENT GROUP LLC |
| Practice Address |
3504 N 10th St Tampa FL 33605-1040 |
| Mailing Address |
4501 Clewis Ave Tampa FL 33610-7335 |
| Practice Telephone | 8137771263 |
| Mailing Telephone | 8136206262 |
| Mailing Fax Number | 8135359128 |
| Enumeration Date | 2020-03-12 |
| Last Update Date | 2020-03-12 |
| Authorized Official Name | CHRISTOPHER DAVID WARREN (OWNER) |
| Authorized Official Telephone | 8137771263 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities |
| Street Address |
3504 N 10TH ST |
| City | TAMPA |
| State | FL |
| Zip Code | 33605-1040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750875399 | Alex Lambert Holdings, Pllc | Chiropractor | 1623 E 4th Ave, Unit 106, Tampa, FL 33605 | 2018-06-18 |
| 1326597949 | Sunstate Nephrology& Hypertension, LLC | Internal Medicine | 1922 E 4th Ave Ste A, Tampa, FL 33605 | 2016-09-23 |
| 1063836781 | Yetey Enterprises Inc | Assisted Living Facility | 3213 E 11th Ave, Tampa, FL 33605 | 2014-02-17 |
| 1275972903 | Tristin Andrew Zorn | Physical Therapy Assistant | 1803 E 3rd Ave, Tampa, FL 33605 | 2013-06-15 |
| 1184069213 | Jarvis A. Hodges | Counselor | 4422 E. Columbus Dr, Tampa, FL 33605 | 2013-05-02 |
| 1104164268 | Diana Marie Smith-scriven | Social Worker | 4422 East Columbus Drive, Tampa, FL 33605 | 2013-01-24 |
| 1699081943 | Gary L Howell | Psychologist | 2109 E Palm Ave Ste 201, Tampa, FL 33605 | 2010-08-25 |
| 1154555431 | Arthritis Pain Solutions LLC | Durable Medical Equipment & Medical Supplies | 1614 E 14th Ave, Tampa, FL 33605 | 2009-05-14 |
| 1891968715 | Deepa Dasani | Counselor | 4422 E. Columbus Drive, Tampa, FL 33605 | 2008-04-11 |
| 1811016058 | Peter A Gorski | Pediatrics | Children's Board of Hillsborough County, 1002 E. Palm Ave, Tampa, FL 33605 | 2007-03-28 |
| Find all providers in zip 33605 | ||||
| Taxonomy Code | 261QD1600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Developmental Disabilities |
| An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
| Notes: [7/1/2003: new] |
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| 1740890029 | Akwasi Adu | Clinic/Center | 6423 Royal Hunt Dr Apt 104, Tampa, FL 33625-2496 | 2020-08-03 |
| 1629687736 | One Quest, LLC | Clinic/Center | 5362 Southwick Dr, Tampa, FL 33624-4124 | 2020-07-24 |
| 1467061572 | Glkp LLC | Clinic/Center | 1222 W Fletcher Ave, Tampa, FL 33612-3364 | 2020-07-24 |
| 1528685377 | Just Like My Home Too, LLC | Clinic/Center | 8109 Tanglewood Ln, Tampa, FL 33615-4636 | 2020-06-28 |
| 1083235626 | Marie A Adams | Clinic/Center | 1312 Larsen Ln, Tampa, FL 33619-4808 | 2020-05-06 |
| 1831725472 | Talesia Clarke | Clinic/Center | 6701 N 22nd St, Tampa, FL 33610-1338 | 2020-03-16 |
| 1295371193 | Delucie Augustin | Clinic/Center | 8712 Busch Oaks St, Tampa, FL 33617-6006 | 2019-11-26 |
| 1497391353 | Rawle Raphael Napier | Clinic/Center | 9876 Morris Glen Way, Tampa, FL 33637-5123 | 2019-11-25 |
| 1871145490 | Gale Marie Philson | Clinic/Center | 3804 E Hanna Ave, Tampa, FL 33610-3759 | 2019-07-13 |
| 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.