KEVIN J MAKATI MD PL (NPI# 1922332212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922332212 |
| Entity Type | Organization |
| Organization Name | KEVIN J MAKATI MD PL |
| Practice Address |
4211 Van Dyke Rd Second Floor East, Suite 205 Lutz FL 33558-8002 |
| Mailing Address |
Po Box 18036 Tampa FL 33679-8036 |
| Practice Telephone | 8134180100 |
| Practice Fax Number | 8139026950 |
| Mailing Telephone | 8134180100 |
| Mailing Fax Number | 8139026950 |
| Enumeration Date | 2009-09-21 |
| Last Update Date | 2010-03-03 |
| Authorized Official Name | DR. KEVIN J MAKATI (MANAGING MEMBER) |
| Authorized Official Telephone | 8134180100 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
ME101255 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
4211 VAN DYKE RD SECOND FLOOR EAST, SUITE 205 |
| City | LUTZ |
| State | FL |
| Zip Code | 33558-8002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306841937 | Ronald Eugene Stephans Jr. | Family Medicine | 4211 Van Dyke Rd, Suite B, Lutz, FL 33558-8005 | 2005-06-20 |
| 1871119008 | Jeysi Alvarez | Anesthesiologist Assistant | 4211 Van Dyke Rd, Lutz, FL 33558-8005 | 2020-06-23 |
| 1548884364 | Garren Dial | Anesthesiologist Assistant | 4211 Van Dyke Rd, Lutz, FL 33558-8005 | 2020-06-08 |
| 1861028409 | Chf Care Pllc | Internal Medicine | 4211 Van Dyke Rd, Lutz, FL 33558-8005 | 2020-03-16 |
| 1861850117 | Baycare Medical Group Pediatric Walk-in Care LLC | Pediatrics | 4211 Van Dyke Rd, Suite 100, Lutz, FL 33558-8005 | 2016-02-02 |
| 1457623233 | St Josephs Hopsital | Nurse Practitioner | 4211 Van Dyke Rd, Lutz, FL 33558-8002 | 2012-02-08 |
| 1710266507 | Emergency Medical Associates of Tampa Bay LLC | Emergency Medicine | 4211 Van Dyke Rd, Lutz, FL 33558-8002 | 2011-08-10 |
| 1194016006 | Tampa Cardiac Specialists LLC | Internal Medicine | 4211 Van Dyke Rd, Suite 205, Lutz, FL 33558-8002 | 2011-04-26 |
| 1710277249 | Brett A Armstrong | Surgery | 4211 Van Dyke Rd, Suite 200, Lutz, FL 33558-8004 | 2011-04-18 |
| 1881995579 | Deana M Lantz | Nurse Practitioner | 4211 Van Dyke Rd, Suit 101b, Lutz, FL 33558-8005 | 2010-11-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801353792 | Oral Maxillofacial and Implant Specialists, LLC | Dentist | 4675 Van Dyke Rd., Lutz, FL 33558 | 2019-02-27 |
| 1780175273 | Elder Services of Central Florida, Inc | Home Health | 17901 Hunting Bow Cir Ste 101, Lutz, FL 33558 | 2018-05-21 |
| 1356843106 | Physicial Medicine & Rehab Consultants | Clinic/Center | 18865 State Road 54 Ste 301, Lutz, FL 33558 | 2018-03-07 |
| 1376905851 | Michelle Renee Story | Contractor | 20921 Haulover Cv. #f6, Lutz, FL 33558 | 2016-03-24 |
| 1992192223 | Melissa Sonia Giblin | Specialist/Technologist, Other | 17535 Darby Ln, Lutz, FL 33558 | 2015-04-24 |
| 1396177739 | Zoe Scripts Laboratory Services LLC | Clinical Medical Laboratory | 4969 Van Dyke Rd., Lutz, FL 33558 | 2013-08-08 |
| 1649617705 | Suzanne Marie Newby | Physician Assistant | 16541 Pointe Village Dr Ste 209, Lutz, FL 33558 | 2013-05-30 |
| 1073889572 | Julie J. Mckean, Lmhc, Ncc, LLC | Counselor | 4929 Van Dyke Road, Lutz, FL 33558 | 2012-03-29 |
| 1750524864 | Sheetal Suryawanshi | Dentist | 17735 Hunting Bow Circle, Lutz, Florida, FL 33558 | 2009-04-20 |
| 1063675478 | Juan J Egas | Physical Medicine & Rehabilitation | 17807 Hunting Bow Cir, Lutz, FL 33558 | 2008-07-07 |
| Find all providers in zip 33558 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
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| 1437765443 | Premier Cardiovascular Center, LLC | Internal Medicine | 450 W State Road 434 Ste 2010, Longwood, FL 32750-5187 | 2020-09-16 |
| 1679199236 | Tallahassee Memorial Healthcare Inc | Internal Medicine | 877 3rd St Ste 3, Chipley, FL 32428-1855 | 2020-06-19 |
| 1972123701 | Heart Clinic of Central Florida LLC | Internal Medicine | 52 Riley Rd # 429, Celebration, FL 34747-5420 | 2020-04-22 |
| 1205465440 | Cardiology Group Panel LLC | Internal Medicine | 201 Nw 82nd Ave Ste 405, Plantation, FL 33324-1883 | 2020-04-08 |
| 1346876745 | H & D Cardiology, Pa | Internal Medicine | 1879 Nightingale Ln Ste B2, Tavares, FL 32778-4363 | 2020-03-17 |
| 1427690775 | The Cardiac and Vascular Institute Ambulatory Surgery Center | Internal Medicine | 4645 Nw 8th Ave Ste 10, Gainesville, FL 32605-4688 | 2019-10-08 |
| 1487208922 | Heart and Vascular Center of Brandon, Pllc | Internal Medicine | 511 Medical Oaks Ave., Brandon, FL 33511 | 2019-08-01 |
| 1023660255 | Florida Medical Specialists LLC | Internal Medicine | 1250 S Tamiami Trl Ste 300, Sarasota, FL 34239-2221 | 2019-07-09 |
| 1962064493 | Ckk Medical LLC | Internal Medicine | 6600 Sw State Road 200 # 200, Ocala, FL 34476-5554 | 2019-07-04 |
| 1952968026 | Jose Miguel Simo | Internal Medicine | 3347 S State Road 7 Ste 205, Wellington, FL 33449-8148 | 2019-05-23 |
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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.