CAREATC-CITY OF TAMPA BRANDON (NPI# 1578015152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578015152 |
| Entity Type | Organization |
| Organization Name | CAREATC-CITY OF TAMPA BRANDON |
| Practice Address |
413 W Robertson St Suite A Brandon FL 33511-5014 |
| Practice Telephone | 8009938244 |
| Enumeration Date | 2016-10-28 |
| Last Update Date | 2016-10-28 |
| Authorized Official Name | KEITH GUCWA (DIR OF PURCHASING AND FACILITIES) |
| Authorized Official Telephone | 9187797416 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Street Address |
413 W ROBERTSON ST SUITE A |
| City | BRANDON |
| State | FL |
| Zip Code | 33511-5014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710101027 | Craig Lewis Oldham | Dentist | 413 W Robertson St, Brandon, FL 33511-5014 | 2007-04-11 |
| 1871737098 | Brandon Dental Care | Dentist | 413 W Robertson St, Ste. # C, Brandon, FL 33511-5014 | 2009-05-01 |
| 1063631240 | Athena Lardizabal Valencia | Internal Medicine | 413 W Robertson St, Unit B, Brandon, FL 33511-5014 | 2007-04-25 |
| 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 | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346891751 | Careatc | Clinic/Center | 413 W Robertson St Ste A, Brandon, FL 33511-5014 | 2019-09-26 |
| 1407248792 | De Brigard Pediatrics, P.a | Clinic/Center | 711 N Parsons Ave, Brandon, FL 33510-3406 | 2015-02-24 |
| 1528459526 | Russell L. Carlisle, D.o. | Clinic/Center | 333 Willow Ridge Cv, Brandon, MS 39047-8089 | 2015-02-11 |
| 1689007080 | Suncoast Community Health Centers, Inc | Clinic/Center | 125 N Moon Ave Ste A, Brandon, FL 33510-4431 | 2013-08-21 |
| 1447514716 | Anita Patel Md Pa | Clinic/Center | 3427 Brook Crossing Dr, Brandon, FL 33511-8181 | 2012-07-01 |
| 1558639625 | Family Medical Express Center, Inc. | Clinic/Center | 122 S Moon Ave, Brandon, FL 33511-5110 | 2011-12-05 |
| 1104943604 | Langford Family Health, Inc | Clinic/Center | 100 Vine Drive, Brandon, MS 39047-5962 | 2007-03-22 |
| 1811923311 | Karen Baldwin Md Pa | Clinic/Center | 320 Oakfield Dr, Suite E, Brandon, FL 33511-5723 | 2006-06-25 |
| 1417556275 | Suncoast Community Health Center Inc | Clinic/Center | 313 S Lakewood Dr, Brandon, FL 33511-2815 | 2020-10-22 |
| 1053795815 | Diaz Medical Center, Inc. | Clinic/Center | 303 Bryan Rd, Suite 1, Brandon, FL 33511-5342 | 2015-07-11 |
| 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.