PARSONS WALK IN CLINIC (NPI# 1124057955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124057955 |
| Entity Type | Organization |
| Organization Name | PARSONS WALK IN CLINIC |
| Other Organization Name | LIBERTY WALK IN CLINIC |
| Practice Address |
1082 E Brandon Blvd Brandon FL 33511-5509 |
| Mailing Address |
Po Box 3550 Brandon FL 33509-3550 |
| Practice Telephone | 8136898900 |
| Practice Fax Number | 8136539696 |
| Mailing Telephone | 8136898900 |
| Mailing Fax Number | 8136539696 |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2008-05-23 |
| Authorized Official Name | MR. AMARJIT S. DHALIWAL (CEO PRESIDENT) |
| Authorized Official Telephone | 8136898900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | ME96113 | FL | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | ME98549 | FL | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | ME59912 | FL | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Liberty Walk In Clinic | Doing Business As Name - Organization |
| Street Address |
1082 E BRANDON BLVD |
| City | BRANDON |
| State | FL |
| Zip Code | 33511-5509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962496059 | Rosy Manchanda | Internal Medicine | 1082 E Brandon Blvd, Brandon, FL 33511-5509 | 2005-09-06 |
| 1063705366 | Lisa R Jamil | Nurse Practitioner | 1082 E Brandon Blvd, Brandon, FL 33511-5509 | 2011-05-18 |
| 1831300532 | Roger Lee Harcourt | Chiropractor | 1082 E Brandon Blvd, Brandon, FL 33511-5509 | 2007-05-24 |
| 1952487688 | Manuel A Gomez | Family Medicine | 1082 E Brandon Blvd, Brandon, FL 33511-5509 | 2006-10-27 |
| 1114956935 | Parsons Medical Center | Family Medicine | 1082 E Brandon Blvd, Brandon, FL 33511-5509 | 2006-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295367555 | Ability Beyond Measures LLC. | Clinic/Center | 2705 Isabella Valley Court, Brandon, FL 33511 | 2020-02-05 |
| 1831744655 | Brandon Modern Dentistry, Pa | Dentist | 971 E. Bloomingdale Avenue, Brandon, FL 33511 | 2019-08-08 |
| 1487208922 | Heart and Vascular Center of Brandon, Pllc | Internal Medicine | 511 Medical Oaks Ave., Brandon, FL 33511 | 2019-08-01 |
| 1841842895 | Rebecca Harrelson | Counselor | 915 Oakfield Drive, Suite E, Brandon, FL 33511 | 2019-07-10 |
| 1043779713 | Cheryl Diane Hart | Nurse Practitioner | 888 S Parsons Ave., Brandon, FL 33511 | 2019-03-13 |
| 1306303177 | Paula J Buchwald | Nurse Practitioner | 888 S. Parsons Ave, Brandon, FL 33511 | 2019-02-27 |
| 1063993996 | Ashlee Marie Shevchenko | Speech-Language Pathologist | 602 Vondeburg Dr, Suite 201, Brandon, FL 33511 | 2018-08-28 |
| 1275023012 | Ava Cares, LLC | Assisted Living Facility | 3005 Bell Shoals Rd., Brandon, FL 33511 | 2018-05-17 |
| 1346738705 | Tampa Psychology Group | Psychologist | 1463 Oakfield Dr Ste 109, Brandon, FL 33511 | 2018-05-01 |
| 1760982987 | Suresh Lama Tamang | Counselor | 510 Vonderburg Dr, Suite# 301, Brandon, FL 33511 | 2018-02-14 |
| Find all providers in zip 33511 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043723752 | Advanced Adult Medicine, Inc | Internal Medicine | 1127 Nikki View Dr, Brandon, FL 33511-4879 | 2017-11-16 |
| 1235411000 | Brandon-riverview Medical | Internal Medicine | 519 E Bloomingdale Ave Ste A, Brandon, FL 33511-8180 | 2011-09-16 |
| 1518119726 | James A Plemmons | Internal Medicine | 615 Vonderburg Dr., Brandon, FL 33511 | 2008-10-21 |
| 1326203977 | Meditech Medical Centers, LLC | Internal Medicine | 1783 S. Kings Ave., Brandon, FL 33511-6220 | 2008-07-23 |
| 1093978918 | Shanna B Pettie | Internal Medicine | 106 Lake Vista Pl, Brandon, MS 39047-6384 | 2008-07-10 |
| 1326207382 | Ron Mathew | Internal Medicine | 500 Vonderburg Dr Ste 215w, Brandon, FL 33511-5977 | 2008-06-05 |
| 1780888248 | Parsons Medical Center Inc | Internal Medicine | 908 S Parsons Ave, Suite A, Brandon, FL 33511-6064 | 2007-06-11 |
| 1639397904 | Todd Lee Gracen | Internal Medicine | 1209 Lakeside Dr, Brandon, FL 33510-4109 | 2007-04-23 |
| 1518011386 | Express Care of Tampa Bay, Inc | Internal Medicine | 107 W Robertson St, Brandon, FL 33511-5111 | 2007-01-22 |
| 1932250131 | Care Plus Walk In Clinics | Internal Medicine | 519a E Bloomingdale Ave, Brandon, FL 33511-8105 | 2007-01-15 |
| Find all providers in BRANDON | ||||
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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.