ANTOINETTE C SPOTO-CANNONS (NPI# 1952312894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952312894 |
| Entity Type | Individual |
| Full Name | ANTOINETTE C SPOTO-CANNONS |
| Credential | MD |
| Practice Address |
17 Davis Blvd Ste 100 Tampa FL 33606-3468 |
| Mailing Address |
Po Box 917770 Orlando FL 32891-0001 |
| Practice Telephone | 8139742201 |
| Practice Fax Number | 8139742812 |
| Mailing Telephone | 8139742201 |
| Mailing Fax Number | 8139742812 |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2020-10-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | ME72740 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 256487400 | 05 | |
| FL | BLUE CROSS BLUE SHIELD | 46741 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2 Tampa General Cir, Tampa, FL 336063603 | 8139742201 | 8139742812 |
| 3001 W Dr Martin Luther King Jr Blvd, Medical Arts Building, 3rd Floor, Tampa, FL 336076307 | 8135548093 | 8135548657 |
| Street Address |
17 DAVIS BLVD STE 100 |
| City | TAMPA |
| State | FL |
| Zip Code | 33606-3468 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811429301 | Sara Garcia | Pediatrics | 17 Davis Blvd Ste 100, Tampa, FL 33606-3468 | 2017-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235758749 | Seyed Shayan Ahmad Falasiri | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd. #308, Tampa, FL 33606 | 2020-04-14 |
| 1174156400 | Jessica Styles | Specialist/Technologist | The University of Tampa, 401 W. Kennedy Blvd, Tampa, FL 33606 | 2020-02-14 |
| 1295389757 | David Green | Specialist/Technologist | 401 W. Kennedy Blvd Box: I, Tampa, FL 33606 | 2019-08-01 |
| 1417514720 | Four Winds Counseling LLC | Counselor | 611 West Bay Street, Tampa, FL 33606 | 2019-05-22 |
| 1699238014 | Azubuogu Charles Anudu | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd., Suite 308 Tampa, Fl 33606, Tampa, FL 33606 | 2019-04-11 |
| 1508327883 | D'arcy Jocelyn Arden Wainwright | Student in an Organized Health Care Education/Training Program | 17 David Blvd., Suite 308, Tampa, FL 33606 | 2019-03-28 |
| 1659851772 | Heather Widmer | Counselor | 202 N Howard Ave, Tampa, FL 33606 | 2018-08-17 |
| 1447737291 | Jonathan T Bell | Marriage & Family Therapist | 425 S. Orleans Ave, Tampa, FL 33606 | 2018-07-24 |
| 1184157539 | Alexander Lim | Student in an Organized Health Care Education/Training Program | 17 David Blvd, Suite 308, Tampa, FL 33606 | 2017-04-04 |
| 1760913057 | Melanie Loretta Bradley | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd. Suite 308, University of South Florida, Morsani College of Medicin, Tampa, FL 33606 | 2017-03-27 |
| Find all providers in zip 33606 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144742396 | Florida Family Primary Care Centers of Tampa, LLC | Pediatrics | 7444 Palm River Dr, Tampa, FL 33619 | 2017-07-10 |
| 1619498581 | Roger Avon Hughes IIi | Pediatrics | 4444 E Fletcher Ave Ste C, Tampa, FL 33613-4905 | 2017-06-30 |
| 1386178739 | The Childrens Doctor of Tampabay, Jacquelin Eniebles Md, Pllc | Pediatrics | 14499 North Dale Mabry Hwy, Suite 180-s, Tampa, FL 34683 | 2017-04-12 |
| 1962933598 | Shaara Katherine Barron | Pediatrics | 17 Davis Blvd # 259-8725, Suite 308, Tampa, FL 33606-3475 | 2017-03-24 |
| 1194106203 | Luisa Gomez Mcelroy Md Pl | Pediatrics | 10860 Sheldon Rd, Tampa, FL 33626-5117 | 2015-06-15 |
| 1467857268 | Children Health Center | Pediatrics | 11464 N 53rd St, Tampa, FL 33617-2216 | 2014-10-23 |
| 1407250996 | Pediatric & Adolescent Health Associates, LLC | Pediatrics | 3709 W Hamilton Ave Ste 4, Tampa, FL 33614-4015 | 2014-10-13 |
| 1215268370 | Barbara Anne Nabrit-stephens | Pediatrics | 4704 Dunnie Dr, Tampa, FL 33614-1496 | 2010-01-28 |
| 1467685693 | Anecita Tan-donahue | Pediatrics | 13610 South Village Drive, Unit #312, Tampa, FL 33618 | 2009-09-04 |
| 1134363542 | Juliet Soscia Collins | Pediatrics | 10909 W. Linebaugh Avenue, Suite 100, Tampa, FL 33626-1741 | 2009-04-29 |
| 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.