BRUCE J EDSON MD PA (NPI# 1922346030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922346030 |
| Entity Type | Organization |
| Organization Name | BRUCE J EDSON MD PA |
| Other Organization Name | BRUCE J EDSON MD |
| Practice Address |
16554 N Dale Mabry Hwy Tampa FL 33618-1325 |
| Practice Telephone | 8139687188 |
| Practice Fax Number | 8137159802 |
| Mailing Telephone | 8139687188 |
| Mailing Fax Number | 8137159802 |
| Enumeration Date | 2013-01-24 |
| Last Update Date | 2013-01-24 |
| Authorized Official Name | MS. CINDI GERMOND (ADMINISTRATIVE ASSISTANT) |
| Authorized Official Telephone | 8137159802 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TP0016X |
Psychologist Specialization: Prescribing (Medical) |
ME0055695 | FL | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| BRUCE J EDSON MD | Former Legal Business Name - Organization |
| Street Address |
16554 N DALE MABRY HWY |
| City | TAMPA |
| State | FL |
| Zip Code | 33618-1325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528060597 | Michael F. Sheehan | Psychiatry & Neurology | 16554 N Dale Mabry Hwy, Tampa, FL 33618-1325 | 2005-08-10 |
| 1578097002 | Helen Y. Choi, Md | Psychiatry & Neurology | 16554 N Dale Mabry Hwy, Tampa, FL 33618-1325 | 2017-04-11 |
| 1831599315 | Julie Linton | Community/Behavioral Health | 16554 N Dale Mabry Hwy, Tampa, FL 33618-1325 | 2014-09-03 |
| 1255742862 | Ben Vyzas Lmhc | Counselor | 16554 N Dale Mabry Hwy, Tampa, FL 33618-1325 | 2014-05-16 |
| 1053678847 | Daisy Deganuza Md LLC | Psychologist | 16554 N Dale Mabry Hwy, Tampa, FL 33618-1325 | 2012-04-18 |
| 1093843948 | Eloisa Cristian Abislaiman | Nurse Practitioner | 16554 N Dale Mabry Hwy, Tampa, FL 33618-1325 | 2007-03-01 |
| 1245380633 | Hardeep Singh,mdpa | Psychiatry & Neurology | 16554 N Dale Mabry Hwy, Tampa, FL 33618-1325 | 2007-01-10 |
| 1386708675 | Hardeep - Singh | Psychiatry & Neurology | 16554 N Dale Mabry Hwy, Tampa, FL 33618-1325 | 2006-12-20 |
| 1396816591 | Mary Margaret Mcbride | Counselor | 16554 N Dale Mabry Hwy, Tampa, FL 33618-1325 | 2006-11-11 |
| 1801903877 | Margaret A Gummoe | Psychologist | 16554 N Dale Mabry Hwy, Tampa, FL 33618-1325 | 2006-08-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730714130 | Virgin Mary's Pharmacy | Pharmacy | 14606 N Dale Mabry, Tampa, FL 33618 | 2020-03-05 |
| 1801378252 | Leah Rae Petit | Nurse Practitioner | 3505, 11809 N Dale Mabry Hwy, Tampa, FL 33618 | 2018-09-02 |
| 1265921100 | Almighty Home Healthcare Services, Inc. | Home Health | 16614 N. Dale Mabry Hwy, Tampa, FL 33618 | 2018-05-07 |
| 1972016368 | Pepe C Mcneal | Specialist | 15241 North Dalemabry Ave, Sola Salons (studio #14, Tampa, FL 33618 | 2017-11-08 |
| 1760919179 | Sara Ashley Carr | Counselor | 10014 N Dale Mabry Hwy Ste 216, Tampa, FL 33618 | 2017-05-16 |
| 1073975231 | National Vision, Inc. | Technician/Technologist | 10934 N Dale Mabry Hwy, Carrollwood, FL 33618 | 2016-03-25 |
| 1003209792 | Tampa General Medical Group Inc | Internal Medicine | 3419 N Lakeview Dr, Tampa, FL 33618 | 2015-03-05 |
| 1114205648 | Liberty Medical Solutions, LLC | Durable Medical Equipment & Medical Supplies | 3653 Madaca Ln, Tampa, FL 33618 | 2011-08-02 |
| 1386938215 | David Leonardo Higuera | Pharmacist | 2901 W Bush Blvd, Suite 104, Tampa, FL 33618 | 2011-06-08 |
| 1922303973 | Kimberly Lynne Little | Social Worker | 3044 W. Bearss Avenue, Tampa, FL 33618 | 2011-01-24 |
| Find all providers in zip 33618 | ||||
| Taxonomy Code | 103TP0016X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Prescribing (Medical) |
| Those licensed psychologists who have completed specialized, post-doctoral training in psychopharmacology, passed a national proficiency examination in psychopharmacology, and who are authorized by state statute to prescribe medications, in accordance with their state law and state licensing authority, for the evaluation, diagnosis, management and treatment of mental, nervous, emotional, behavioral, and related disorders. |
| Notes: Source: Louisiana Academy of Medical Psychologists Note: Some states issue licenses under Medical Psychologist. [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053678847 | Daisy Deganuza Md LLC | Psychologist | 16554 N Dale Mabry Hwy, Tampa, FL 33618-1325 | 2012-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356795629 | Florida Psych Services Inc. | Psychologist | 13436 Sw Pembroke Cir N, Lake Suzy, FL 34269-6909 | 2016-04-22 |
| 1053712125 | Lysal Enterprises, Inc. | Psychologist | 7215 Zapata Dr, Jacksonville, FL 32210-4772 | 2014-09-09 |
| 1295075372 | Pinellas Psychiatric Services, LLC | Psychologist | 25 Franklin Ct S, Unit A, St Petersburg, FL 33711-5136 | 2013-02-26 |
| 1376883074 | Pauline S Powers Md LLC | Psychologist | 7401 Temple Terrace Hwy Ste A, Temple Terrace, FL 33637-5784 | 2013-02-18 |
| 1982836391 | Back Door, LLC | Psychologist | 1639 Cape Coral Pkwy E Ste 211, Cape Coral, FL 33904-9657 | 2009-08-18 |
| 1508046855 | Sunrise Mental Health Inc | Psychologist | 250 Brooks Street, Suite C, Fort Walton Beach, FL 32548 | 2007-11-05 |
| 1245429463 | Broward Institute of Neuro Science L L C | Psychologist | 7501 Wiles Rd Ste 105, Coral Springs, FL 33067-2063 | 2007-10-24 |
| 1083802821 | Treasure Coast Psychiatric Services, P.a. | Psychologist | 789 S Federal Hwy Suite 213, Stuart, FL 34994-2962 | 2007-10-05 |
| 1083828438 | Phil K Springer | Psychologist | Florida State Prison, 7819 Nw 228th Street, Raiford, FL 32026-0001 | 2007-05-09 |
| 1346465424 | Janis Faith Heffron | Psychologist | 1317 Winewood Blvd Ste 6 Room 213, Tallahassee, FL 32399-6570 | 2007-04-16 |
| Find all providers with the same taxonomy | ||||
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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.