JUSTIN RAY FRANK LAWANDALES (NPI# 1356794044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356794044 |
| Entity Type | Individual |
| Full Name | JUSTIN RAY FRANK LAWANDALES |
| Credential | APRN |
| Practice Address |
3000 Medical Park Dr Suite 500 Tampa FL 33613-4680 |
| Practice Telephone | 8136157028 |
| Practice Fax Number | 8136158008 |
| Mailing Telephone | 8136157028 |
| Enumeration Date | 2016-07-18 |
| Last Update Date | 2020-10-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | APRN9316431 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
APRN9316431 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
ARNP9316431 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3000 MEDICAL PARK DR SUITE 500 |
| City | TAMPA |
| State | FL |
| Zip Code | 33613-4680 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235135914 | Nalin Jashbhai Patel | Otolaryngology | 3000 Medical Park Dr, Suite 200, Tampa, FL 33613-4680 | 2005-06-27 |
| 1477101590 | Darlene Ruth Crook | Nurse Practitioner | 3000 Medical Park Dr, Ste 320, Tampa, FL 33613-4681 | 2019-09-02 |
| 1770053555 | Hillary Paige Willy | Dietitian, Registered | 3000 Medical Park Dr, Tampa, FL 33613-4680 | 2018-12-05 |
| 1780171157 | Jennifer Dawn Botkins | Nurse Practitioner | 3000 Medical Park Dr, Tampa, FL 33613-4680 | 2018-04-20 |
| 1982137824 | Chris Taylor | Physician Assistant | 3000 Medical Park Dr, Ste 500, Tampa, FL 33613-4680 | 2017-04-07 |
| 1093179012 | Forat Swaid | Surgery | 3000 Medical Park Dr, Suite 310, Tampa, FL 33613-4680 | 2016-04-06 |
| 1336500032 | Marilyn Gregorowicz | Physician Assistant | 3000 Medical Park Dr, Ste 340, Tampa, FL 33613-4680 | 2016-03-09 |
| 1407242266 | Christina A Padalia | Physician Assistant | 3000 Medical Park Dr, Ste 500, Tampa, FL 33613-4680 | 2015-04-08 |
| 1235534488 | Dana Manzi | Nurse Practitioner | 3000 Medical Park Dr, Suite 310, Tampa, FL 33613-4680 | 2014-10-30 |
| 1083031082 | Lauren Marinda Sosdorf | Nurse Practitioner | 3000 Medical Park Dr, Ste 150, Tampa, FL 33613-4680 | 2014-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649877671 | Lisandra Isabelle Raba | Behavior Technician | 3299 Usf Banyan Circle, Tampa, FL 33613 | 2020-10-02 |
| 1184250490 | Stetho Md LLC | Family Medicine | 1707 E Bearss Ave, Tampa, FL 33613 | 2020-03-18 |
| 1174187645 | Renee Pinheiro | Student in an Organized Health Care Education/Training Program | Usf Health Morsani College of Medicine, 12901 Bruce B Downs Blvd. Mdc5, Tampa, FL 33613 | 2019-04-30 |
| 1104388842 | Heartbeat Home Health Care LLC | Home Health | 13542 N Florida Ave Ste 209-b, Tampa, FL 33613 | 2019-04-02 |
| 1437625357 | Carierx LLC | Pharmacy | 15511 N. Florida Avenue, Ste 601, Tampa, FL 33613 | 2018-10-18 |
| 1205312980 | Sabina Vlaeva | Dentist | Affordable Dentures & Implants, 14936 N Florida Avenue Ste 101, Tampa, FL 33613 | 2018-07-16 |
| 1780170266 | Joy M. Alexander | Driver | 14209 Cyber Pl Apt 102, Tampa, FL 33613 | 2018-07-08 |
| 1598289829 | Lillian Perez | Social Worker | 13542 N Florida Avenue, Suite 210, Tampa, FL 33613 | 2017-07-28 |
| 1134640386 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3100 E Fletcher Ave Ste A165, Tampa, FL 33613 | 2017-06-28 |
| 1770016099 | Marcus Bruno | Physician Assistant | 13701 Bruce B Downs Blvd., Tampa, FL 33613 | 2017-04-04 |
| Find all providers in zip 33613 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154896 | Christa Marie Mcnamara | Nurse Practitioner | 3820 Northdale Blvd Ste 107a, Tampa, FL 33624-1834 | 2020-11-03 |
| 1912510926 | Oneeka Green | Nurse Practitioner | 8947 Turnstone Haven Pl, Tampa, FL 33619-0826 | 2020-08-28 |
| 1578193520 | Quankela Tillman | Nurse Practitioner | 2604 Lindell Ave, Tampa, FL 33610-7757 | 2020-01-17 |
| 1891272076 | Jehad Saleh | Nurse Practitioner | 317 E Hanlon St, Tampa, FL 33604-4130 | 2018-07-20 |
| 1003332313 | Gail Deanne Roth | Nurse Practitioner | 4604 Brownwood Ct, Tampa, FL 33624-1118 | 2017-08-17 |
| 1538697511 | Heather Hughes | Nurse Practitioner | 912 Channelside Dr Ste 2102, Tampa, FL 33602-4227 | 2017-06-02 |
| 1215353073 | Crystal Danae Van Dette | Nurse Practitioner | 2919w Swann Ave 102, Tampa, FL 33609-4049 | 2014-03-17 |
| 1912056169 | Wendy Heather Hull | Nurse Practitioner | 4830 W Kennedy Blvd Ste 600, Tampa, FL 33609 | 2007-01-09 |
| 1467482380 | Ags Healthcare Specialists Inc | Nurse Practitioner | 14902 Winding Creek Ct, Ste 105-c, Tampa, FL 33613-1640 | 2006-07-04 |
| 1023001633 | Linda K Beagle | Nurse Practitioner | 300 S Hyde Park Ave, Ste 210, Tampa, FL 33606-4125 | 2005-08-30 |
| 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.