MIGUEL ANGEL MAZARIEGOS (NPI# 1255325361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255325361 |
| Entity Type | Individual |
| Full Name | MIGUEL ANGEL MAZARIEGOS |
| Credential | MD |
| Practice Address |
205 S Moon Ave Suite 105 Brandon FL 33511-5716 |
| Practice Telephone | 8136816064 |
| Practice Fax Number | 8136534132 |
| Mailing Telephone | 8136816064 |
| Mailing Fax Number | 8136534132 |
| Enumeration Date | 2005-09-02 |
| Last Update Date | 2011-06-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | ME0069553 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 378959400 | 05 |
| Street Address |
205 S MOON AVE SUITE 105 |
| City | BRANDON |
| State | FL |
| Zip Code | 33511-5716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174949184 | Thiru S. Arasu, Md, Pa | Pediatrics | 205 S Moon Ave, Suite 103, Brandon, FL 33511-5716 | 2014-03-14 |
| 1487962619 | Family Practice Center of Brandon LLC | Family Medicine | 205 S Moon Ave, Suite 105, Brandon, FL 33511-5716 | 2010-09-22 |
| 1740511054 | Integrated Surgical Care, Pa | Surgery | 205 S Moon Ave, Suite 103, Brandon, FL 33511-5716 | 2010-01-26 |
| 1881833382 | Federico Alfonso Auger | Podiatrist | 205 S Moon Ave, Brandon, FL 33511-5716 | 2009-02-07 |
| 1174793046 | Ankle & Foot Center of Tampa Bay | Podiatrist | 205 S Moon Ave, Suite #101, Brandon, FL 33511-5703 | 2008-03-07 |
| 1184619488 | Shivinder Narwal | Pediatrics | 205 S Moon Ave, Suite 103, Brandon, FL 33511-5716 | 2005-09-13 |
| 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 | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780241729 | Southeast Reginald Solutions,pllc | General Practice | 310 River Forest Ln, Brandon, MS 39047-7020 | 2019-05-24 |
| 1700397239 | Marysol Camejo Romero | General Practice | 728 Benwick Dr, Brandon, MS 39047-8111 | 2017-10-24 |
| 1609284330 | Telehealthone, LLC | General Practice | 1037 Lake Village Cir, Suite A, Brandon, MS 39047-6725 | 2014-07-25 |
| 1700149143 | Orlando Enrique Mieles | General Practice | 500 Vonderburg Dr Ste 305, Brandon, FL 33511-5976 | 2012-06-20 |
| 1871850412 | Zulayne Vera | General Practice | 813 S Parsons Ave, Brandon, FL 33511-6063 | 2012-04-20 |
| 1205025277 | Valrico Medical Care, P.a. | General Practice | 143 N Oakwood Ave, Brandon, FL 33510-4629 | 2007-10-16 |
| 1871535393 | Aida Cuascut-reyes | General Practice | 653 W Lumsden Rd, Brandon, FL 33511-5911 | 2006-06-11 |
| 1417906611 | Dwic of Tampa Bay, Inc. | General Practice | 408 E Brandon Blvd, Brandon, FL 33511-5318 | 2006-05-08 |
| 1609853225 | Jorge L Acevedo Vazquez | General Practice | 501 Eichenfeld Dr, Ste 101, Brandon, FL 33511-5994 | 2005-12-23 |
| 1386646750 | Maria Josefina Prieto | General Practice | 109 Margaret St, Brandon, FL 33511-5203 | 2005-08-15 |
| 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.