FLORIDA FAMILY PRACTICE & URGENT CARE, LLC (NPI# 1710434626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710434626 |
| Entity Type | Organization |
| Organization Name | FLORIDA FAMILY PRACTICE & URGENT CARE, LLC |
| Practice Address |
3450 E Fletcher Ave Ste 100 Tampa FL 33613-4603 |
| Practice Telephone | 8138124133 |
| Practice Fax Number | 8135013633 |
| Mailing Telephone | 8138124133 |
| Mailing Fax Number | 8135013633 |
| Enumeration Date | 2016-09-08 |
| Last Update Date | 2019-03-11 |
| Authorized Official Name | DR. RONALD SALAZAR MANALO (PRESIDENT) |
| Authorized Official Telephone | 6158385198 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 019212900 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2412 Cypress Glen Dr Ste 102, Wesley Chapel, FL 335444603 | 8138124133 | 8135013633 |
| 3450 E Fletcher Ave Ste 100, Tampa, FL 336134603 | 8138124133 | 8135013633 |
| 3450 E Fletcher Ave Ste 330, Tampa, FL 336134659 | 8138124133 | 8135013633 |
| Street Address |
3450 E FLETCHER AVE STE 100 |
| City | TAMPA |
| State | FL |
| Zip Code | 33613-4603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780194621 | Mythily Srigananathan | Nurse Practitioner | 3450 E Fletcher Ave Ste 100, Tampa, FL 33613-4603 | 2017-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649877671 | Lisandra Isabelle Raba | Behavior Technician | 3299 Usf Banyan Circle, Tampa, FL 33613 | 2020-10-02 |
| 1184250490 | Stetho Md LLC | Family Medicine | 1707 E Bearss Ave, Tampa, FL 33613 | 2020-03-18 |
| 1174187645 | Renee Pinheiro | Student in an Organized Health Care Education/Training Program | Usf Health Morsani College of Medicine, 12901 Bruce B Downs Blvd. Mdc5, Tampa, FL 33613 | 2019-04-30 |
| 1104388842 | Heartbeat Home Health Care LLC | Home Health | 13542 N Florida Ave Ste 209-b, Tampa, FL 33613 | 2019-04-02 |
| 1437625357 | Carierx LLC | Pharmacy | 15511 N. Florida Avenue, Ste 601, Tampa, FL 33613 | 2018-10-18 |
| 1205312980 | Sabina Vlaeva | Dentist | Affordable Dentures & Implants, 14936 N Florida Avenue Ste 101, Tampa, FL 33613 | 2018-07-16 |
| 1780170266 | Joy M. Alexander | Driver | 14209 Cyber Pl Apt 102, Tampa, FL 33613 | 2018-07-08 |
| 1598289829 | Lillian Perez | Social Worker | 13542 N Florida Avenue, Suite 210, Tampa, FL 33613 | 2017-07-28 |
| 1134640386 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3100 E Fletcher Ave Ste A165, Tampa, FL 33613 | 2017-06-28 |
| 1770016099 | Marcus Bruno | Physician Assistant | 13701 Bruce B Downs Blvd., Tampa, FL 33613 | 2017-04-04 |
| Find all providers in zip 33613 | ||||
| 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 |
|---|---|---|---|---|
| 1851909212 | Stefanny Molina Mesa | Family Medicine | 3016 W Kirby St, Tampa, FL 33614-3303 | 2020-07-21 |
| 1245869015 | Zenlifemd Pa | Family Medicine | 18101 Highwoods Preserve Pkwy Ste 120, Tampa, FL 33647-1791 | 2020-04-03 |
| 1184250490 | Stetho Md LLC | Family Medicine | 1707 E Bearss Ave, Tampa, FL 33613 | 2020-03-18 |
| 1447898101 | Palms Clinical Services Inc | Family Medicine | 17008 Palm Pointe Dr Ste 101, Tampa, FL 33647-3504 | 2019-12-12 |
| 1396382545 | Advanced Medical Treatments, LLC | Family Medicine | 4401 W Kennedy Blvd Fl 3, Tampa, FL 33609-2058 | 2019-12-06 |
| 1528604204 | Amarillys Alvarado-sojo | Family Medicine | 10306 Manta Way, Tampa, FL 33615-4252 | 2019-11-18 |
| 1891345138 | Adeel Farooqi | Family Medicine | 3905 W Sevilla St, Tampa, FL 33629-8604 | 2019-09-18 |
| 1003464074 | Leslie Kapp-jones | Family Medicine | 3100 E Fletcher Ave Ste 126, Tampa, FL 33613-4613 | 2019-09-03 |
| 1053895375 | Barbara Pierre-louis | Family Medicine | 12552 Castle Hill Dr, Tampa, FL 33624-4183 | 2018-09-21 |
| 1700366010 | Marie A Brister Md LLC | Family Medicine | 508 W Dr Martin Luther King Jr Blvd Ste A, Tampa, FL 33603 | 2018-08-16 |
| 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.