CLINICAL NEUROSCIENCES OF TAMPA BAY LLP (NPI# 1831375112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831375112 |
| Entity Type | Organization |
| Organization Name | CLINICAL NEUROSCIENCES OF TAMPA BAY LLP |
| Practice Address |
430 Morton Plant St Suite 400 Clearwater FL 33756-3398 |
| Practice Telephone | 7274433295 |
| Practice Fax Number | 7274464336 |
| Mailing Telephone | 7274433295 |
| Mailing Fax Number | 7274464336 |
| Enumeration Date | 2008-01-16 |
| Last Update Date | 2008-07-22 |
| Authorized Official Name | DR. ROBERT L. VOLLBRACHT (PHYSICIAN/PARTNER) |
| Authorized Official Telephone | 7274433295 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| Street Address |
430 MORTON PLANT ST SUITE 400 |
| City | CLEARWATER |
| State | FL |
| Zip Code | 33756-3398 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902896699 | Thurman Johnson Ross | Specialist | 430 Morton Plant St, Suite 206, Clearwater, FL 33756-3398 | 2005-10-25 |
| 1346693231 | Jacqueline Brooke Johnson | Physician Assistant | 430 Morton Plant St, Suite 301, Clearwater, FL 33756-3395 | 2016-07-15 |
| 1366898108 | Advanced Urology Institute | Non-Pharmacy Dispensing Site | 430 Morton Plant St, Suite 206, Clearwater, FL 33756-3398 | 2016-05-11 |
| 1487014171 | Kristen Hicks | Occupational Therapist | 430 Morton Plant St, Clearwater, FL 33756-3398 | 2016-02-24 |
| 1073998985 | Adam Pignon | Physical Therapist | 430 Morton Plant St, 206, Clearwater, FL 33756-3398 | 2015-07-22 |
| 1639426810 | Christopher Michael Edelman | Physician Assistant | 430 Morton Plant St, Suite 301, Clearwater, FL 33756-3398 | 2012-08-07 |
| 1104180280 | Shannon Marie Barsema | Clinical Neuropsychologist | 430 Morton Plant St, Suite 402, Clearwater, FL 33756-3398 | 2012-07-03 |
| 1083980767 | Antonia M Favacho | Physical Therapy Assistant | 430 Morton Plant St, Clearwater, FL 33756-3398 | 2012-03-28 |
| 1881968873 | Nancy Carol Blair | Speech-Language Pathologist | 430 Morton Plant St, Clearwater, FL 33756-3398 | 2012-03-08 |
| 1275807570 | Carly Runkles | Physical Therapist | 430 Morton Plant St, Suite 101, Clearwater, FL 33756-3398 | 2012-03-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659998060 | Guidewell Emergency Medicine Doctors, LLC | Clinic/Center | 1603 Missouri Ave, Clearwater, FL 33756 | 2020-07-01 |
| 1578104527 | M.k. El-yousef, M.d. LLC | Psychiatry & Neurology | 1555 S. Ft Harrison Ave, Clearwater, FL 33756 | 2019-10-01 |
| 1124672670 | Kayla Marie Flook | Counselor | 1106 Druid Rd S Suite 201, Clearwater, FL 33756 | 2019-08-01 |
| 1285192989 | Amy Elizabeth Dickson | Social Worker | 1260 S Mlk Jr Ave Ste D, Clearwater, FL 33756 | 2019-03-12 |
| 1548789951 | J. Carson Woolwine O.d. Pllc. | Optometrist | 912 S. Missouri Ave., Clearwater, FL 33756 | 2017-09-18 |
| 1760912349 | Kelly Morrissey | Counselor | 1240 South Fort Harrison Ave., Clearwater, FL 33756 | 2017-06-15 |
| 1972033744 | Edward Lewis Smith | Audiologist-Hearing Aid Fitter | 820 S Fort Harrison, Clearwater, FL 33756 | 2017-06-14 |
| 1700310422 | Dedicated Senior Medical Center Clearwater, LLC. | Non-Pharmacy Dispensing Site | 855 S Highland Avenue, Dedicated Senior Medical Center St. Clearwater, LLC., Clearwater, FL 33756 | 2017-04-19 |
| 1306268339 | Theresa Anne Ritz | Counselor | 1260 S Martin Luther King Jr Ave Ste D, Clearwater, FL 33756 | 2014-01-10 |
| 1649513276 | Kerry Eileen Reller | Family Medicine | 708 Druid Rd. E, Clearwater, FL 33756 | 2013-04-02 |
| Find all providers in zip 33756 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780906313 | Barry Leber Mdpa | Psychiatry & Neurology | 611 S Myrtle Ave, Suite B, Clearwater, FL 33756-5666 | 2010-02-23 |
| 1588834964 | Countryside Neurology Inc | Psychiatry & Neurology | 2349 Sunset Point Rd Ste 403, Clearwater, FL 33765-1439 | 2008-03-03 |
| 1386757110 | Barry L Leber | Psychiatry & Neurology | 430 Morton Plant St Ste 402, Clearwater, FL 33756 | 2006-08-16 |
| 1912936733 | Abraham R Totah | Psychiatry & Neurology | 1399 Hamlet Ave, Clearwater, FL 33756-3331 | 2006-07-02 |
| 1205279759 | Somphanh Tynoi Khousakoun | Psychiatry & Neurology | 430 Morton Plant St Ste 402, Clearwater, FL 33756-3395 | 2013-04-15 |
| 1891946331 | William C Hulley Do Pa | Psychiatry & Neurology | 600 Lakeview Rd, Suite C, Clearwater, FL 33756-3355 | 2008-10-02 |
| 1346412269 | Stuart E Sinoff, M.d.p.a. | Psychiatry & Neurology | 430 Morton Plant St, Suite 401, Clearwater, FL 33756-3398 | 2008-03-31 |
| 1851404180 | Thomas H Harrison | Psychiatry & Neurology | 401 Corbett St, Ste 240, Clearwater, FL 33756-7302 | 2006-08-17 |
| 1730196965 | Daniel D. Cabello | Psychiatry & Neurology | 430 Morton Plant St, Suite 400, Clearwater, FL 33756-3398 | 2006-08-01 |
| 1487691127 | Jean-raphael Schneider | Psychiatry & Neurology | 3190 N Mcmullen Booth Rd Ste 202, Clearwater, FL 33761-2013 | 2006-06-01 |
| Find all providers in CLEARWATER | ||||
| City | CLEARWATER |
| Zip Code | 33756 |
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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.