WELL SPRING CANCER CENTER L.L.C. (NPI# 1902004799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902004799 |
| Entity Type | Organization |
| Organization Name | WELL SPRING CANCER CENTER L.L.C. |
| Practice Address |
6449 38th Ave N Suite C-3 St Petersburg FL 33710-1655 |
| Mailing Address |
6449 38th Ave N Suite C-3 Saint Petersburg FL 33710-1655 |
| Practice Telephone | 7273843735 |
| Practice Fax Number | 7273455352 |
| Mailing Telephone | 7273843735 |
| Mailing Fax Number | 7273455352 |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DEBRA KIMBLER (OPERATIONS MANGER) |
| Authorized Official Telephone | 7274091349 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
6449 38TH AVE N SUITE C-3 |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33710-1655 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467459289 | Ultra Imaging of Tampa LLC | Clinic/Center | 6449 38th Ave N, Suite B-3, St Petersburg, FL 33710-1655 | 2005-07-07 |
| 1811268253 | Henry Earl Cotman, M. D., P. A | Radiology | 6449 38th Ave N, Suite C-3, St Petersburg, FL 33710-1655 | 2012-01-17 |
| 1598928582 | Annette Weis-mcnulty | Radiology | 6449 38th Ave N, Suite C4, St Petersburg, FL 33710-1655 | 2008-07-09 |
| 1659533305 | Kim M. Jaqua | Chiropractor | 6449 38th Ave N, Suite B3, St Petersburg, FL 33710-1655 | 2008-06-25 |
| 1992972343 | Babat, Katz and Samuelson Mds Pa | Radiology | 6449 38th Ave N, Suite C4, St Petersburg, FL 33710-1655 | 2008-05-14 |
| 1174790521 | Babat, Katz and Samuelson Mds Pa | Radiology | 6449 38th Ave N, Suite C4, St Petersburg, FL 33710-1655 | 2008-05-14 |
| 1255508248 | Babat, Katz and Samuelson Mds Paa | Radiology | 6449 38th Ave N, Suite C4, St Petersburg, FL 33710-1655 | 2008-05-09 |
| 1851465082 | George Tyson | Radiology | 6449 38th Ave N, Suite B-3, St Petersburg, FL 33710-1655 | 2006-11-20 |
| 1750455036 | Horst Herman Blumberg | Radiology | 6449 38th Ave N, Suite B-3, St Petersburg, FL 33710-1655 | 2006-11-20 |
| 1457447500 | Nasr Hanna | Radiology | 6449 38th Ave N, Suite C4, St Petersburg, FL 33710-1655 | 2006-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615812 | Bay Vision Inc | Optometrist | 6951 22nd Ave North, St. Petersburg, FL 33710 | 2020-10-05 |
| 1821566845 | Harish J. Patel, Md | Non-Pharmacy Dispensing Site | 6449 38th Avenue North, Suite B3, Saint Petersburg, FL 33710 | 2018-11-07 |
| 1659860708 | Lydia M Gomez | Physical Therapist | 6775 Crosswinds Dr. N, Saint Petersburg, FL 33710 | 2018-05-04 |
| 1619498169 | Tiffiny C Rudkin | Massage Therapist | 3039 - 49th St. N., St. Petersburg, FL 33710 | 2017-07-05 |
| 1114456480 | Roberto Macedo Dentistry LLC | Dentist | 7801 38th Ave North, St. Petersburg, FL 33710 | 2017-06-08 |
| 1528429495 | Frank Michael Massotto Jr. | Nurse Practitioner | 3251 66th St. North, St Petersburg, FL 33710 | 2016-03-18 |
| 1235522889 | Toby Weinman Assisted Living Residence | Assisted Living Facility | 240 59th St N, St Petersburg, FL 33710 | 2015-03-06 |
| 1821415951 | Ryan Troup | Physician Assistant | 603 - 7th St. S, Suite 360, Emergency Physicians of Saint Petersburg, Saint Petersburg, FL 33710 | 2014-03-26 |
| 1629491600 | Garett Janes Sears | Psychologist | 1913 Tyrone Blvd, St. Petersburg, FL 33710 | 2014-01-28 |
| 1912331943 | Solimar Jimenez Diaz | Obstetrics & Gynecology | 6450 38th Ave N Ste 200, St Petersburg, FL 33710 | 2013-08-27 |
| Find all providers in zip 33710 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134597826 | Phillip Wood Jr. | Specialist | 5153 68th Ln N, St Petersburg, FL 33709-2865 | 2015-09-11 |
| 1194113340 | Tampa Bay Diabetes, Thyroid, & Endocrinology Center, Pa | Specialist | 5775 5th Ave N, St Petersburg, FL 33710-7103 | 2014-12-22 |
| 1225448467 | Peter Karempelis | Specialist | 601 5th St S Ste 701, St Petersburg, FL 33701-4804 | 2014-04-28 |
| 1932540416 | Mallory Anne Ventsam | Specialist | 511 66th St N, St Petersburg, FL 33710-6939 | 2013-07-11 |
| 1407106552 | Frederick Edward Swartz | Specialist | 5980 80th St N Unit 104, St Petersburg, FL 33709-1003 | 2012-09-17 |
| 1215232319 | Donald B Morris M.d., P.a. | Specialist | 1111 7th Ave N Ste 101, St Petersburg, FL 33705-1348 | 2011-01-20 |
| 1346542966 | Scott Daniel Heikka | Specialist | 2701 18th Ave N, St Petersburg, FL 33713-4935 | 2010-12-02 |
| 1295040541 | Diane Lee Heron | Specialist | 105 5th Ave Ne, St Petersburg, FL 33701-3015 | 2010-08-11 |
| 1417274937 | Freddie L Mcrae Md Pa | Specialist | 603 7th St S Ste 520, St Petersburg, FL 33701-4734 | 2010-04-23 |
| 1538485610 | Beecum & Beecum Md Pa | Specialist | 7000 54th Ave N, St Petersburg, FL 33709-1304 | 2010-04-14 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33710 |
Please comment or provide details below to improve the information on WELL SPRING CANCER CENTER L.L.C..
| 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.