MICHELLE P GILLESPIE DO PA


Address: 2330 W Horatio St Ste 200, Tampa, FL 33609-3590
Phone: 8132840954

MICHELLE P GILLESPIE DO PA (NPI# 1841809076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841809076
Entity Type Organization
Organization Name MICHELLE P GILLESPIE DO PA
Practice Address 2330 W Horatio St Ste 200
Tampa
FL 33609-3590
Mailing Address 2812 W Alline Ave
Tampa
FL 33611-2806
Practice Telephone 8132840954
Mailing Telephone 9542326754
Enumeration Date 2020-07-23
Last Update Date 2020-07-23
Authorized Official Name DR. MICHELLE GILLESPIE (PRESIDENT)
Authorized Official Telephone 9542326754
Authorized Official Credential DO
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM2500X Clinic/Center
Specialization: Medical Specialty
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
FL 00655170 05

Office Location

Street Address 2330 W HORATIO ST STE 200
City TAMPA
State FL
Zip Code 33609-3590

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Taxonomy Information

Taxonomy Code 261QM2500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Medical Specialty

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Notes: [7/1/2003: new]

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Competitor

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City TAMPA
Zip Code 33609

Improve Information

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Dataset Information

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.

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