HAVEN MEDICAL CENTER, INC. (NPI# 1679173926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679173926 |
| Entity Type | Organization |
| Organization Name | HAVEN MEDICAL CENTER, INC. |
| Practice Address |
11961 N Florida Ave Tampa FL 33612-5213 |
| Practice Telephone | 8133818975 |
| Mailing Telephone | 8133818975 |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2020-10-27 |
| Authorized Official Name | MS. TAMARA SOTO (OWNER) |
| Authorized Official Telephone | 8133818975 |
| Authorized Official Credential | LMT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| N | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities | ||
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| Street Address |
11961 N FLORIDA AVE |
| City | TAMPA |
| State | FL |
| Zip Code | 33612-5213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689286767 | Daniel Jimenez | Physical Therapist | 13000 Bruce B Downs Blvd, Tampa, Fl, Tampa, FL 33612 | 2020-08-19 |
| 1700426830 | Taz Stacy | Behavior Technician | 2701 University Square Drive, Tampa, FL 33612 | 2020-01-07 |
| 1841853215 | Eric Austen Keeler | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd, Mdc5, Tampa, FL 33612 | 2019-04-20 |
| 1346700242 | Caitlyn Victoria Cartwright | Student in an Organized Health Care Education/Training Program | 12901 Bruce B. Downs Blvd., Mdc5, Tampa, FL 33612 | 2019-03-25 |
| 1720552953 | Marijo Bilitski | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd # Blvd5, Tampa, FL 33612 | 2019-01-22 |
| 1790259190 | Belkis Aleman | Nurse Practitioner | 205 E Busch Blvd, Tampa, FL 33612 | 2019-01-18 |
| 1811469133 | Stephanie Stegner | Physician Assistant | 12901 Bruce B Downs Blvd Mdc 5, Tampa, FL 33612 | 2018-12-27 |
| 1053889857 | Alysia Heather Siegel | Psychologist | 1300 Bruce B. Downs Boulevard, 116b, Tampa, FL 33612 | 2018-11-09 |
| 1295202489 | Daisy Baby Pulinilkumkalayil | Nurse Practitioner | 1426 W. Bush Blvd. Suite #105, Suite #105, Tampa, FL 33612 | 2018-10-26 |
| 1649745258 | Rachel Rene Shelton | Specialist/Technologist | Orthopedics and Sports Medicine, 13330 Usf Laurel Drive, Tampa, FL 33612 | 2018-10-10 |
| Find all providers in zip 33612 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
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| 1386252534 | Florida Medical Labs Inc | Clinic/Center | 2901 W Busch Blvd Ste 206, Tampa, FL 33618-4564 | 2020-07-14 |
| 1114403227 | Robust Pain & Wellness Medical Center Inc | Clinic/Center | 3105 W Waters Ave Ste 210, Tampa, FL 33614-2873 | 2018-07-12 |
| 1720599137 | United States Management | Clinic/Center | 1419 W Waters Ave Ste 105, Tampa, FL 33604-2896 | 2017-10-12 |
| 1891240693 | Nuessence LLC | Clinic/Center | 18001 Malakai Isle Dr, Tampa, FL 33647-2991 | 2016-08-22 |
| 1306220777 | Medical A Center Inc | Clinic/Center | 7825 N Dale Marby Hwy, Ste 27, Tampa, FL 33614 | 2015-07-16 |
| 1144615196 | Balanced Health, Pllc | Clinic/Center | 11327 Countryway Blvd, Tampa, FL 33626-2610 | 2015-04-06 |
| 1134539273 | Lotus Path Wellness Center | Clinic/Center | 3642 Madaca Ln, Tampa, FL 33618-2057 | 2014-04-29 |
| 1689091050 | Dcreasequeen, Inc. | Clinic/Center | 11634 Bristol Chase Dr, Tampa, FL 33626-3300 | 2014-03-24 |
| 1790127249 | Ferrer Medical Center | Clinic/Center | 8313 W Hillsborough Ave Ste 260, Tampa, FL 33615-3818 | 2013-07-25 |
| 1205278264 | Century Health Center | Clinic/Center | 7402 N 56th St Bldg 900, Suite 907, Tampa, FL 33617-7733 | 2013-07-18 |
| 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.