ERIC SHAWN HUFF (NPI# 1114409158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114409158 |
| Entity Type | Individual |
| Full Name | ERIC SHAWN HUFF |
| Credential | PA-C |
| Practice Address |
220 Grand Regency Blvd Brandon FL 33510-3935 |
| Mailing Address |
5823 Interbay Blvd Tampa FL 33611-4740 |
| Practice Telephone | 8138279733 |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2018-09-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 1153387 | Physician Assistants & Advanced Practice Nursing Providers | |
| Y | 171000000X | Military Health Care Provider | 1153387 | Other Service Providers |
| Street Address |
220 GRAND REGENCY BLVD |
| City | BRANDON |
| State | FL |
| Zip Code | 33510-3935 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578550216 | James William Pank | Physician Assistant | 220 Grand Regency Blvd, Brandon, FL 33510-3935 | 2005-09-27 |
| 1689921264 | Liam Magaly Aponte | Nurse Practitioner | 220 Grand Regency Blvd, Brandon, FL 33510-3935 | 2012-08-13 |
| 1386937878 | Nathan G Smith | Physician Assistant | 220 Grand Regency Blvd, Brandon, FL 33510 | 2011-05-17 |
| 1093046757 | Zirnita J Mallory | Pharmacist | 220 Grand Regency Blvd, Brandon, FL 33510-3935 | 2010-01-20 |
| 1265583835 | Christy Lea Godbee-awe | Physician Assistant | 220 Grand Regency Blvd, Macdill Community Clinic-brandon, Brandon, FL 33510-3935 | 2007-01-12 |
| 1538250493 | Brenda Faye Pinkerman | Psychologist | 220 Grand Regency Blvd, Brandon, FL 33510-3935 | 2006-09-27 |
| 1811921398 | Susan Faye Mulero | Family Medicine | 220 Grand Regency Blvd, Brandon, FL 33510-3935 | 2006-07-10 |
| 1285616847 | James Cline Belcher II | Physician Assistant | 220 Grand Regency Blvd, Brandon, FL 33510-3935 | 2005-11-18 |
| 1629069570 | Frank Michael Dessauer | Physician Assistant | 220 Grand Regency Blvd, Brandon, FL 33510-3935 | 2005-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215491204 | Juliana Giraldo-isaza | Technician, Other | 1116 Nikki View Dr., Brandon, FL 33510 | 2019-01-24 |
| 1952813511 | Tanya Samuels | Respite Care | 502 Camino Real Court Atp A, Brandon, FL 33510 | 2017-11-03 |
| 1518482462 | Ava Cares, LLC | Assisted Living Facility | 713 Pearl Circle, Brandon, FL 33510 | 2017-08-11 |
| 1790208510 | Gps Pharmacy-tampa LLC | Pharmacy | 2846 Broadway Center Blvd, Brandon, FL 33510 | 2017-07-24 |
| 1356886345 | Marguerita La Cruz | Early Intervention Provider Agency | 1720 Southwind Dr., Brandon, FL 33510 | 2016-12-29 |
| 1215487434 | Cottage Manor, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1706 Cottage Oaks Ct, Brandon, FL 33510 | 2016-10-12 |
| 1558817874 | Tracy Cheri Speech Therapy Services | Speech-Language Pathologist | 701 Hazy Meadow Ct., Brandon, FL 33510 | 2016-08-28 |
| 1144672338 | Brandy Sweet | Licensed Practical Nurse | 221 N Kings Ave, Apt 226, Brandon, FL 33510 | 2016-07-12 |
| 1750733945 | Eddie James Burrell Jr. | Nurse's Aide | 221 N Kings Ave #226, Brandon, FL 33510 | 2016-07-12 |
| 1760842280 | Sunny Sia | Nurse Practitioner | 205 W Morgan St, Brandon, FL 33510 | 2016-02-25 |
| Find all providers in zip 33510 | ||||
| Taxonomy Code | 171000000X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
| Notes: [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104898378 | Rafael A Pagan | Military Health Care Provider | Raf Lakenheath 48mdss/sgsar Unit 5210, Box 230, Brandon, SUFFOLK IP27 9PN | 2006-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447872387 | Wesley Charles Wagers | Military Health Care Provider | 96 Mdos/sgof, 307 Boatner Road, Suite 114, Eglin Afb, FL 32542-1391 | 2020-05-14 |
| 1548808546 | Patrick S. Merriman | Military Health Care Provider | Navy Medicine Support Command Att: Medical Staff Svcs, Bldg H 2005 Knight Lane, Jacksonville, FL 32212-0140 | 2019-12-20 |
| 1023656451 | Operation Art District Healthcare LLC | Military Health Care Provider | 11 Nottingham Pl, Boynton Beach, FL 33426-8427 | 2019-12-17 |
| 1245881994 | Matthew Kerwin Church | Military Health Care Provider | 2020 Glenwood Hammock Rd, Deland, FL 32720-3805 | 2019-09-24 |
| 1326512443 | Francine Dorce I | Military Health Care Provider | 2300 Lynbrooke View Ct Apt 4, Orlando, FL 32822-4624 | 2019-01-12 |
| 1053805671 | Jeremy Ganz | Military Health Care Provider | 283 Twin Lakes Ln, Destin, FL 32541-2866 | 2018-06-18 |
| 1093224388 | Roland Vaughn | Military Health Care Provider | 970 Lake Carillon Dr Ste 300, St Petersburg, FL 33716-1130 | 2017-09-29 |
| 1134644750 | Kwanza Lincoln | Military Health Care Provider | 3520 Zemke Ave, Tampa, FL 33621 | 2017-08-04 |
| 1134576390 | Nathan Jamal Pena | Military Health Care Provider | 1320 Bailey Ave, Jacksonville, FL 32228-0028 | 2016-05-18 |
| 1780063644 | Samuel Herman | Military Health Care Provider | Naval Hospital Pensacola 6000 Us-98, Pensacola, FL 32512-0001 | 2015-05-26 |
| Find all providers with the same taxonomy | ||||
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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.