YASMIN DIVINE


Address: 409 Bayshore Blvd, Tampa, FL 33606-2707
Phone: 8138447000

YASMIN DIVINE (NPI# 1881868800) 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) 1881868800
Entity Type Individual
Full Name YASMIN DIVINE
Other Name YASMIN ISSA
Credential M.D.
Practice Address 409 Bayshore Blvd
Tampa
FL 33606-2707
Mailing Address Po Box 1289
Tampa
FL 33601-1289
Practice Telephone 8138447000
Mailing Telephone 8138447000
Enumeration Date 2008-04-22
Last Update Date 2020-03-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207QG0300X Family Medicine
Specialization: Geriatric Medicine
ME111615 FL Allopathic & Osteopathic Physicians
N 207QG0300X Family Medicine
Specialization: Geriatric Medicine
239450 MA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MA 110095071A 05

Office Location

Street Address 409 BAYSHORE BLVD
City TAMPA
State FL
Zip Code 33606-2707

Providers in the same location

NPI Name Taxonomy Address Enumeration
1073516209 Eduardo Alsina Transplant Surgery 409 Bayshore Blvd, Tampa, FL 33606-2707 2005-05-23
1326547357 Valerija Rudic Nurse Practitioner 409 Bayshore Blvd, Tampa, FL 33606 2018-02-05
1184166381 Caroline Elizabeth Matthews Nurse Practitioner 409 Bayshore Blvd, Tampa, FL 33606-2707 2016-11-06
1710343637 Flavia Bravo Nurse Practitioner 409 Bayshore Blvd, Tampa, FL 33606-2707 2016-01-07
1265817233 Edward Olin Elrod Nurse Practitioner 409 Bayshore Blvd, Tampa, FL 33606-2707 2015-07-20
1811396021 Elizabeth Mary Kohan Nurse Practitioner 409 Bayshore Blvd, Tampa, FL 33606-2707 2014-08-14
1245639483 Lina Vega-brownlee Nurse Practitioner 409 Bayshore Blvd, Tampa, FL 33606-2707 2014-08-13
1598188997 Jacentha Buggs Surgery 409 Bayshore Blvd, #634, Tampa, FL 33606-2707 2014-01-22
1932549359 Vijay Subramanian Transplant Surgery 409 Bayshore Blvd, Tampa, FL 33606-2707 2013-06-29
1962840702 Stacey Lynn Kollet Registered Nurse 409 Bayshore Blvd, Tampa, FL 33606-2707 2013-06-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235758749 Seyed Shayan Ahmad Falasiri Student in an Organized Health Care Education/Training Program 17 Davis Blvd. #308, Tampa, FL 33606 2020-04-14
1174156400 Jessica Styles Specialist/Technologist The University of Tampa, 401 W. Kennedy Blvd, Tampa, FL 33606 2020-02-14
1295389757 David Green Specialist/Technologist 401 W. Kennedy Blvd Box: I, Tampa, FL 33606 2019-08-01
1417514720 Four Winds Counseling LLC Counselor 611 West Bay Street, Tampa, FL 33606 2019-05-22
1699238014 Azubuogu Charles Anudu Student in an Organized Health Care Education/Training Program 17 Davis Blvd., Suite 308 Tampa, Fl 33606, Tampa, FL 33606 2019-04-11
1508327883 D'arcy Jocelyn Arden Wainwright Student in an Organized Health Care Education/Training Program 17 David Blvd., Suite 308, Tampa, FL 33606 2019-03-28
1659851772 Heather Widmer Counselor 202 N Howard Ave, Tampa, FL 33606 2018-08-17
1447737291 Jonathan T Bell Marriage & Family Therapist 425 S. Orleans Ave, Tampa, FL 33606 2018-07-24
1184157539 Alexander Lim Student in an Organized Health Care Education/Training Program 17 David Blvd, Suite 308, Tampa, FL 33606 2017-04-04
1760913057 Melanie Loretta Bradley Student in an Organized Health Care Education/Training Program 17 Davis Blvd. Suite 308, University of South Florida, Morsani College of Medicin, Tampa, FL 33606 2017-03-27
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Taxonomy Information

Taxonomy Code 207QG0300X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Geriatric Medicine

Taxonomy Definition

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://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 Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780867275 Robert J. Shaw Family Medicine 16308 Moradas De Avila, Tampa, FL 33613-1092 2007-12-07
1124022546 Oscar Perez Family Medicine 5330 Ehrlich Road, Suite 138, Tampa, FL 33624-6975 2005-06-13
1396179024 Albert Tawil, M.d., P.a. Family Medicine 508 S Habana Ave, Ste. 360, Tampa, FL 33609-4181 2013-08-29
1760746408 Marla Mickel Trapp Family Medicine 10150 Highland Manor Dr Ste 240, Tampa, FL 33610-9750 2012-06-27
1265603591 Gerimed 2000 LLC Family Medicine 5330 Ehrlich Road, Suite 138, Tampa, FL 33624-6975 2008-03-14
1821008582 Scott D Judd Family Medicine 13701 Bruce B Downs Blvd, Ste 106, Tampa, FL 33613-4647 2006-08-08

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1821620618 Heather J Cappello LLC Family Medicine 2571 Dick Wilson Dr, Sarasota, FL 34240-8722 2020-02-10
1225682784 Brevard Geriatrics, LLC Family Medicine 720 E New Haven Ave Suite 11, Melbourne, FL 32901-5474 2019-08-01
1922562933 Bless Medical Center Corp Family Medicine 440 E Sample Road Suite 107, Pompano Beach, FL 33064 2019-01-23
1730682642 Centennial Medical Group Family Medicine 1341 Bedford Drive, Melbourne, FL 32940 2018-03-16
1184137929 Saint George Medical Center Inc Family Medicine 1118 Hospital Rd, Fort Walton Beach, FL 32547-6742 2017-11-15
1750835211 Gainesville Geriatric Rehabilitation Medicine LLC Family Medicine 5002 Nw 15th Pl, Gainesville, FL 32605-4555 2016-08-12
1033570171 Reliance Med, LLC Family Medicine 8450 Reymont St, Orlando, FL 32827-7430 2016-03-17
1013375062 Kravitz Physician Services, P.a. Family Medicine 5150 Nw 82nd Ter, Coral Springs, FL 33067-2811 2016-02-05
1972968089 Wm R George II Md Pa Family Medicine 327 Plaza Real Ste 307, Boca Raton, FL 33432-3944 2015-12-17
1710369020 Robert N. Baskin, Md, P.a. Family Medicine 2108 N Golfview Dr, Plant City, FL 33566-6768 2015-06-23
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Competitor

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City TAMPA
Zip Code 33606

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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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