MR. JAMES WILLIAM PANK (NPI# 1578550216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578550216 |
| Entity Type | Individual |
| Full Name | MR. JAMES WILLIAM PANK |
| Credential | PA-C |
| Practice Address |
220 Grand Regency Blvd Brandon FL 33510-3935 |
| Mailing Address |
6218 Whimbrelwood Dr Lithia FL 33547-4102 |
| Practice Telephone | 8138279729 |
| Practice Fax Number | 8138279706 |
| Mailing Telephone | 8137607176 |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA3860 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
220 GRAND REGENCY BLVD |
| City | BRANDON |
| State | FL |
| Zip Code | 33510-3935 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114409158 | Eric Shawn Huff | Physician Assistant | 220 Grand Regency Blvd, Brandon, FL 33510-3935 | 2018-09-06 |
| 1689921264 | Liam Magaly Aponte | Nurse Practitioner | 220 Grand Regency Blvd, Brandon, FL 33510-3935 | 2012-08-13 |
| 1386937878 | Nathan G Smith | Physician Assistant | 220 Grand Regency Blvd, Brandon, FL 33510 | 2011-05-17 |
| 1093046757 | Zirnita J Mallory | Pharmacist | 220 Grand Regency Blvd, Brandon, FL 33510-3935 | 2010-01-20 |
| 1265583835 | Christy Lea Godbee-awe | Physician Assistant | 220 Grand Regency Blvd, Macdill Community Clinic-brandon, Brandon, FL 33510-3935 | 2007-01-12 |
| 1538250493 | Brenda Faye Pinkerman | Psychologist | 220 Grand Regency Blvd, Brandon, FL 33510-3935 | 2006-09-27 |
| 1811921398 | Susan Faye Mulero | Family Medicine | 220 Grand Regency Blvd, Brandon, FL 33510-3935 | 2006-07-10 |
| 1285616847 | James Cline Belcher II | Physician Assistant | 220 Grand Regency Blvd, Brandon, FL 33510-3935 | 2005-11-18 |
| 1629069570 | Frank Michael Dessauer | Physician Assistant | 220 Grand Regency Blvd, Brandon, FL 33510-3935 | 2005-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215491204 | Juliana Giraldo-isaza | Technician, Other | 1116 Nikki View Dr., Brandon, FL 33510 | 2019-01-24 |
| 1952813511 | Tanya Samuels | Respite Care | 502 Camino Real Court Atp A, Brandon, FL 33510 | 2017-11-03 |
| 1518482462 | Ava Cares, LLC | Assisted Living Facility | 713 Pearl Circle, Brandon, FL 33510 | 2017-08-11 |
| 1790208510 | Gps Pharmacy-tampa LLC | Pharmacy | 2846 Broadway Center Blvd, Brandon, FL 33510 | 2017-07-24 |
| 1356886345 | Marguerita La Cruz | Early Intervention Provider Agency | 1720 Southwind Dr., Brandon, FL 33510 | 2016-12-29 |
| 1215487434 | Cottage Manor, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1706 Cottage Oaks Ct, Brandon, FL 33510 | 2016-10-12 |
| 1558817874 | Tracy Cheri Speech Therapy Services | Speech-Language Pathologist | 701 Hazy Meadow Ct., Brandon, FL 33510 | 2016-08-28 |
| 1144672338 | Brandy Sweet | Licensed Practical Nurse | 221 N Kings Ave, Apt 226, Brandon, FL 33510 | 2016-07-12 |
| 1750733945 | Eddie James Burrell Jr. | Nurse's Aide | 221 N Kings Ave #226, Brandon, FL 33510 | 2016-07-12 |
| 1760842280 | Sunny Sia | Nurse Practitioner | 205 W Morgan St, Brandon, FL 33510 | 2016-02-25 |
| Find all providers in zip 33510 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134523525 | Mildred Lopez Garrido | Physician Assistant | 205 S Moon Ave Ste 105, Brandon, FL 33511-5716 | 2014-10-15 |
| 1528477254 | Arveny Negron | Physician Assistant | 500 Vonderburg Dr Ste 311w, Brandon, FL 33511-5978 | 2014-08-06 |
| 1053724955 | Travis Shearer | Physician Assistant | 3954 Applegate Cir, Brandon, FL 33511-7985 | 2014-06-09 |
| 1649368556 | Cheri Marie Jrolf | Physician Assistant | 519a E Bloomingdale Ave Ste A, Brandon, FL 33511-8105 | 2006-10-10 |
| 1396771234 | John H Phillips | Physician Assistant | 799 W Lumsden Rd, Brandon, FL 33511-6261 | 2006-06-23 |
| 1083662159 | Tony John Nelson | Physician Assistant | 540 Medical Oaks Ave Ste 102, Brandon, FL 33511-5995 | 2006-05-04 |
| 1811998156 | Janelle Marie Kalle | Physician Assistant | 500 Vonderburg Dr, 102, Brandon, FL 33511-5964 | 2005-08-09 |
| 1801304126 | Morgan Leigh Williams | Physician Assistant | 615 Vonderburg Dr, Brandon, FL 33511-5972 | 2018-01-22 |
| 1093242810 | Marikate B Howe | Physician Assistant | 403 S Kings Ave Ste 100, Brandon, FL 33511-5962 | 2017-05-11 |
| 1083162325 | Shelby Durrance Devinney | Physician Assistant | 1218 Millennium Pkwy, Brandon, FL 33511-3895 | 2016-09-15 |
| 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.