Misti M Davenport (NPI# 1568720860, PAC ID# 6901054469) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1568720860 |
| PAC ID by PECOS | 6901054469 |
| Professional Enrollment ID | I20160119001289 |
| Full Name | Misti M Davenport |
| Organization Legal Name | WEST FLORIDA CARDIOLOGY NETWORK, LLC |
| Address |
270 S Moon Ave Brandon FL 33511-5711 |
| Phone Number | 8135719988 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8729260641 |
| Number of Group Practice Members | 39 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100243 | BRANDON REGIONAL HOSPITAL |
| 100248 | LARGO MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 270 S Moon Ave, Brandon, FL 33511-5711 | 8135719988 | WEST FLORIDA CARDIOLOGY NETWORK, LLC |
| Organization Legal Name | WEST FLORIDA CARDIOLOGY NETWORK, LLC |
| Physicians | 38 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Josip Katinic | Nurse Practitioner | West Florida Cardiology Network, LLC | 6006 49th St N, Suite 200, Saint Petersburg, FL 33709-2149 |
| Charles J Bailey | Vascular Surgery | West Florida Cardiology Network, LLC | 270 S Moon Ave, Brandon, FL 33511-5711 |
| Thomas S Gennara | Physician Assistant | West Florida Cardiology Network, LLC | 119 Oakfield Dr, Brandon, FL 33511-5779 |
| Robert M Diana | Physician Assistant | West Florida Cardiology Network, LLC | 119 Oakfield Dr, Brandon, FL 33511-5779 |
| Stacy Christine Kaniok | Nurse Practitioner | West Florida Cardiology Network, LLC | 1345 W Bay Dr, Suite 304, Largo, FL 33770-2276 |
| Heather Tate | Physician Assistant | West Florida Cardiology Network, LLC | 1615 Pasadena Ave S, Suite 300, South Pasadena, FL 33707-4567 |
| Robert Sanchez | Cardiovascular Disease (cardiology) | West Florida Cardiology Network, LLC | 6000 49th St N, Saint Petersburg, FL 33709-2114 |
| Richard E Jackson | Physician Assistant | West Florida Cardiology Network, LLC | 6006 49th St N, Suite 200, Saint Petersburg, FL 33709-2149 |
| Christopher C Kwon | Thoracic Surgery | West Florida Cardiology Network, LLC | 6006 49th St N, Suite 200, Saint Petersburg, FL 33709-2149 |
| Maria Rodriguez | Physician Assistant | West Florida Cardiology Network, LLC | 119 Oakfield Dr, Brandon, FL 33511-5779 |
| Street Address |
270 S MOON AVE |
| City | BRANDON |
| State | FL |
| Zip | 33511-5711 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles J Bailey | Vascular Surgery | West Florida Cardiology Network, LLC | 270 S Moon Ave, Brandon, FL 33511-5711 |
| Ignacio G Duarte | Thoracic Surgery | West Florida Cardiology Network, LLC | 270 S Moon Ave, Brandon, FL 33511-5711 |
| Bradley L Bufkin | Thoracic Surgery | West Florida Cardiology Network, LLC | 270 S Moon Ave, Brandon, FL 33511-5711 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| In Soon Park | General Surgery | Suncoast Surgical Associates P A | 519 Medical Oaks Dr, Brandon, FL 33511 |
| Michael G Siegman | General Surgery | Suncoast Surgical Associates P A | 519 Medical Oaks Dr, Brandon, FL 33511 |
| Jeffrey Scott Mino | General Surgery | Suncoast Surgical Associates P A | 519 Medical Oaks Dr, Brandon, FL 33511 |
| Gopal Grandhige | General Surgery | Suncoast Surgical Associates P A | 519 Medical Oaks Dr, Brandon, FL 33511 |
| Richard G Picciocca Jr. | General Surgery | Suncoast Surgical Associates P A | 519 Medical Oaks Dr, Brandon, FL 33511 |
| Cristiano V Alpendre | General Surgery | Suncoast Surgical Associates P A | 519 Medical Oaks Dr, Brandon, FL 33511 |
| Donovan N Tapper | General Surgery | Suncoast Surgical Associates P A | 519 Medical Oaks Dr, Brandon, FL 33511 |
| Stephen Allen Jones | General Surgery | Suncoast Surgical Associates P A | 519 Medical Oaks Dr, Brandon, FL 33511 |
| Francisco H Itriago | General Surgery | Suncoast Surgical Associates P A | 519 Medical Oaks Dr, Brandon, FL 33511 |
| Paul Anthony Taiganides | General Surgery | Suncoast Surgical Associates P A | 519 Medical Oaks Dr, Brandon, FL 33511 |
| Find all physicians in zip 33511 | |||
| City | BRANDON |
| Zip Code | 33511 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | BRANDON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Misti M Davenport.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.