DR. AMANDA BOODHOO (NPI# 1639531460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639531460 |
| Entity Type | Individual |
| Full Name | DR. AMANDA BOODHOO |
| Credential | DDS |
| Practice Address |
6216 E Sligh Ave Tampa FL 33617 |
| Mailing Address |
1010 Marksworth Rd Catonsville MD 21228-1218 |
| Practice Telephone | 8133975300 |
| Mailing Telephone | 4102272867 |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2018-05-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
16196 | MD | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2429 Frederick Ave, Baltimore, MD 212232856 | 4439774338 |
| Street Address |
6216 E SLIGH AVE |
| City | TAMPA |
| State | FL |
| Zip Code | 33617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588938989 | Elena Marie Walker | Nurse Practitioner | 6216 E Sligh Ave, Tampa, FL 33617-9105 | 2012-03-02 |
| 1871003798 | Jacquelyn Sousa | Nurse Practitioner | 6216 E Sligh Ave, Tampa, FL 33617-9105 | 2017-10-05 |
| 1043753726 | Lauren Kornacker | Nurse Practitioner | 6216 E Sligh Ave, Tampa, FL 33617-9105 | 2016-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285253195 | Kare Medical Equipment Inc. | Durable Medical Equipment & Medical Supplies | 7860 North 56th Street, Tampa, FL 33617 | 2020-04-10 |
| 1942840467 | Care Medrx LLC | Pharmacy | 311 Bullard Pkwy Ste. B, Temple Terrace, FL 33617 | 2020-01-13 |
| 1467004804 | Favorite Care Services, LLC | In Home Supportive Care | 7628 N 56th St Ste 2, Tampa, FL 33617 | 2019-07-16 |
| 1982265625 | Promise Home Care Agency LLC | In Home Supportive Care | 315 Bahamas Ave, Tampa, FL 33617 | 2019-06-24 |
| 1164912754 | Superior Physician Group | Pain Medicine | 10730 N 56th St Ste 209, Temple Terrace, FL 33617 | 2018-05-18 |
| 1346738796 | Advanced Pain Management and Anesthesiology | Clinic/Center | 4209 E. Busch Blvd, Tampa, FL 33617 | 2018-05-01 |
| 1184112427 | Imperial Connections Support Programs, LLC | In Home Supportive Care | 9806 N Connechusett Rd, Tampa, FL 33617 | 2018-04-23 |
| 1609394204 | Erin E Sleeper | Behavior Technician | 418 Belle Claire Ave, Temple Terrace, FL 33617 | 2017-09-03 |
| 1720504293 | Robin A Kelly | Nurse's Aide | 7523 Pitch Pine Circle, Apt B, Tampa, FL 33617 | 2017-08-16 |
| 1174046023 | Rishita Amish Patel | Pharmacist | 532 Heritage Brook Cir, Apt #101, Temple Terrace, FL 33617 | 2017-07-24 |
| Find all providers in zip 33617 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033742499 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 8682 Hunters Village Rd, Tampa, FL 33647-3778 | 2020-02-13 |
| 1194387118 | Matthew Sorsok | Dentist | 8406 Wilsky Blvd, Tampa, FL 33615-1515 | 2019-06-29 |
| 1922666056 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 13805 Nine Eagles Dr, Tampa, FL 33626-3002 | 2019-06-04 |
| 1346728425 | Buckenheimer & Bulnes, D.m.d.'s P.a. | Dentist | 3906 W. Neptune St., Tampa, FL 33629-5829 | 2018-08-01 |
| 1700308855 | Neil Bradley Seaver | Dentist | 16562 N Dale Mabry Hwy, Tampa, FL 33618-1325 | 2017-07-11 |
| 1801316310 | Affiliated Dental Specialist Pl | Dentist | 13129 N Dale Mabry Hwy Ste H, Tampa, FL 33618-2444 | 2017-06-26 |
| 1215457767 | Affiliated Dental Specialist Pl | Dentist | 17401 Commerce Park Blvd Ste 101, Tampa, FL 33647-3507 | 2017-06-26 |
| 1316479959 | Jennifer Lindsay Kucko | Dentist | 12113 W Linebaugh Ave, Tampa, FL 33626-1732 | 2017-04-02 |
| 1063865673 | South Tampa Dental Studio | Dentist | 4306 West Kensington Ave., Tampa, FL 33629 | 2016-07-19 |
| 1821441601 | Nicholas K. Mickelson | Dentist | 10041 W Hillsborough Ave, Tampa, FL 33615-3002 | 2016-07-18 |
| 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.