MR. GERALD J FITZGERALD (NPI# 1508050196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508050196 |
| Entity Type | Individual |
| Full Name | MR. GERALD J FITZGERALD |
| Credential | D.O. |
| Practice Address |
12464 Indian Rocks Rd Largo FL 33774-3005 |
| Practice Telephone | 7275961815 |
| Practice Fax Number | 7275930002 |
| Mailing Telephone | 7275961815 |
| Mailing Fax Number | 7275930002 |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2013-07-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | OS0007067 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | UNITED | 0105649 | 01 |
| FL | FIRST | 811456 | 01 |
| FL | RAILROAD MEDICARE | 080124319 | 01 |
| FL | BCBS | 57246 | 01 |
| FL | AETNA | 5778427 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245498484 | Gerald Lee Fitzgerald Jr. | Military Health Care Provider | Surface Warfare Medicine Institute, 3401 Farenholt Avenue, San Diego, CA 92134-0001 | 2008-05-23 |
| 1245423706 | Gerald C Fitzgerald | Pharmacist | 190 Quaker Rd, Queensbury, NY 12804-1718 | 2007-08-19 |
| Street Address |
12464 INDIAN ROCKS RD |
| City | LARGO |
| State | FL |
| Zip Code | 33774-3005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235160805 | Fitz Tropics Medical Associates Inc | Family Medicine | 12464 Indian Rocks Rd, Largo, FL 33774-3005 | 2006-07-05 |
| 1356810535 | Galene Victoria Neal | Nurse Practitioner | 12464 Indian Rocks Rd, Largo, FL 33774-3005 | 2018-11-17 |
| 1316462880 | William Savage | Dietitian, Registered | 12464 Indian Rocks Rd, Largo, FL 33774-3005 | 2017-08-07 |
| 1710402292 | Bill The Dietitian Pllc | Dietitian, Registered | 12464 Indian Rocks Rd, Largo, FL 33774-3005 | 2017-08-07 |
| 1780063255 | Fitz Tropics Medical Associates, Inc. | Non-Pharmacy Dispensing Site | 12464 Indian Rocks Rd, Largo, FL 33774-3005 | 2015-05-29 |
| 1780933127 | Kirk Dominic Cianciolo | Urology | 12464 Indian Rocks Rd, Largo, FL 33774 | 2012-08-30 |
| 1992051809 | Marc Alen Richman | Orthopaedic Surgery | 12464 Indian Rocks Rd, Largo, FL 33774-3005 | 2012-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467930818 | Anthea Marina Dsouza | Physical Therapist | 3500 Oak Manor Lane, Largo, FL 33774 | 2018-07-29 |
| 1265918874 | Bertishia Lashanti Mosley | Home Health | 2308 Fulton Way, Largo, FL 33774 | 2018-07-17 |
| 1639660699 | Tanya Jadhav | Dentist | 12963 Walsingham Rd, Largo, FL 33774 | 2018-05-25 |
| 1588001390 | Lindsay Erin Spotts | Dietitian, Registered | 14763 Sunset Drive, Largo, FL 33774 | 2013-06-03 |
| 1235572314 | Jasmine Gardens LLC | Assisted Living Facility | 11355 131st St, Largo, FL 33774 | 2013-04-09 |
| 1033484183 | The Body Masters, Inc | Massage Therapist | 12552 Indian Rocks Road, Largo, FL 33774 | 2012-03-21 |
| 1902112923 | Christie Youssef | Family Medicine | 2025 Indian Rocks Rd., Largo, FL 33774 | 2010-08-27 |
| 1568777548 | Lee Laravia | General Practice | 2025 Indian Rocks Rd, Largo, FL 33774 | 2010-08-13 |
| 1699957068 | Indian Oaks Incorporated | Assisted Living Facility | 11355 131st Street North, Largo, FL 33774 | 2007-11-28 |
| 1487867164 | Eric Nathan Grosch | Internal Medicine | 11800 Hammock Drive, Largo, FL 33774 | 2007-05-08 |
| Find all providers in zip 33774 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902112923 | Christie Youssef | Family Medicine | 2025 Indian Rocks Rd., Largo, FL 33774 | 2010-08-27 |
| 1588998488 | Village Family Practice | Family Medicine | 8250 Bryan Dairy Rd Ste 300, Largo, FL 33777-1356 | 2009-09-24 |
| 1255569943 | Zozan Al Saadi | Family Medicine | 7050 Ulmerton Rd, Largo, FL 33771 | 2009-07-01 |
| 1063665867 | East Bay Family Practice LLC | Family Medicine | 3387 3391 Easy Bay Drive, Largo, FL 33771 | 2008-10-24 |
| 1841470952 | Gabriel A Decandido Pa | Family Medicine | 8005 Ulmerton Rd, Largo, FL 33771-3971 | 2007-11-06 |
| 1255530382 | Jaimie Louise Mickey | Family Medicine | 13117 66th St, Largo, FL 33773-1812 | 2007-07-18 |
| 1881801140 | Moneer M. Mansour,md.pa | Family Medicine | 8787 Bryan Dairy Rd Ste 330, Largo, FL 33777-1260 | 2007-05-17 |
| 1194858969 | Snyder Family Medicine Pa | Family Medicine | 1042 Belcher Rd S, Largo, FL 33771-3316 | 2007-03-13 |
| 1801926001 | Kirsten Lea Cooper | Family Medicine | 13220 Starkey Rd Ste 500, Largo, FL 33773-1446 | 2007-03-06 |
| 1467515221 | Sun Coast Hospital Inc | Family Medicine | 1559 Indian Rocks Rd S, Largo, FL 33770-4542 | 2006-12-19 |
| Find all providers in LARGO | ||||
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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.