SOUTH CARE MEDICAL, LLC (NPI# 1982261681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982261681 |
| Entity Type | Organization |
| Organization Name | SOUTH CARE MEDICAL, LLC |
| Practice Address |
6822 W Waters Ave Tampa FL 33634 |
| Mailing Address |
4522 W Village Dr Ste 202 Tampa FL 33624-3429 |
| Practice Telephone | 8139691700 |
| Mailing Telephone | 8139691700 |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2019-05-29 |
| Authorized Official Name | ALEJANDRO GONZALEZ (OWNER) |
| Authorized Official Telephone | 8137707169 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302F00000X | Exclusive Provider Organization | Managed Care Organizations |
| Street Address |
6822 W WATERS AVE |
| City | TAMPA |
| State | FL |
| Zip Code | 33634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962451450 | Bita Ansari | Podiatrist | 6822 W Waters Ave, Tampa, FL 33634-2212 | 2006-05-10 |
| 1295237675 | My Doctor Medical Group Corp | General Practice | 6822 W Waters Ave, Tampa, FL 33634-2212 | 2018-03-01 |
| 1235651654 | Carlos Rodriguez Zarzabal | General Practice | 6822 W Waters Ave, Tampa, FL 33634-2212 | 2017-07-07 |
| 1619377298 | Tammy Wedel | Specialist/Technologist, Other | 6822 W Waters Ave, Tampa, FL 33634-2212 | 2014-09-02 |
| 1104172600 | Affinity Wellness and Aesthetic Center | Clinic/Center | 6822 W Waters Ave, Tampa, FL 33634-2212 | 2012-08-02 |
| 1194054288 | Michael B. Austin, D.o., P.a. | General Practice | 6822 W Waters Ave, Tampa, FL 33634-2212 | 2009-12-18 |
| 1609885771 | Michael Bruce Austin | General Practice | 6822 W Waters Ave, Tampa, FL 33634-2212 | 2006-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134729510 | Magaly Lozada | Pharmacist | 7011 West Waters Ave, Tampa, FL 33634 | 2020-10-27 |
| 1396223798 | Kayla Lashae Keaton | Developmental Therapist | 5091 Florida Mining Blvd, Suite 102, Tampa, FL 33634 | 2018-07-30 |
| 1396221008 | Hannah L. Fox | Developmental Therapist | 5091 Florida Mining Blvd., Suite 102, Tampa, FL 33634 | 2018-07-16 |
| 1417443623 | Leah Patrinostro | Developmental Therapist | 5091 Florida Mining Blvd, Suite 102, Tampa, FL 33634 | 2018-07-11 |
| 1265889208 | Shannon Stumbaugh | Specialist/Technologist, Other | 5224 Net Drive Apt 315, Tampa, FL 33634 | 2016-05-19 |
| 1487024469 | Brenda I Bryant | Counselor | 4902 Eisenhower Blvd Ste 295, Tampa, FL 33634 | 2015-10-02 |
| 1548697790 | Arlene A. Laing | Nurse Practitioner | 9009 Corporate Lake Drive, Suite 200, Tampa, FL 33634 | 2013-10-02 |
| 1942642301 | Yanet D. Perez Parra | Registered Nurse | 6821 W Hillsborough Ave Ste 10-11, Tampa, FL 33634 | 2013-07-25 |
| 1467794784 | Deanna Lynn Marr | Occupational Therapist | 6169 Lanshire Dr, Tampa, FL 33634 | 2013-03-25 |
| 1336489442 | Elbert Jamaal Taylor | Technician, Other | 8905 Benjamin Road, Tampa, FL 33634 | 2013-02-26 |
| Find all providers in zip 33634 | ||||
| Taxonomy Code | 302F00000X |
| Grouping | Managed Care Organizations |
| Classification | Exclusive Provider Organization |
| (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427580851 | Family Support Inc | Exclusive Provider Organization | 12701 Saddle Club Cir Apt 203, Tampa, FL 33635-9689 | 2017-04-03 |
| 1962879866 | Infinity Medical Institute, LLC | Exclusive Provider Organization | 1715 N West Shore Blvd, Suite 100, Tampa, FL 33607-3925 | 2015-08-26 |
| 1588089395 | Ladelma Garcia | Exclusive Provider Organization | 401 E 7th Ave Apt 912, Tampa, FL 33602-2740 | 2014-03-03 |
| 1790127603 | Any Accident Care Clinic Pllc | Exclusive Provider Organization | 607 W Dr Martin Luther King Jr Blvd, Suite 101, Tampa, FL 33603-3453 | 2013-07-19 |
| 1093812281 | Transatlantic Healthcare, LLC | Exclusive Provider Organization | 5110 Eisenhower Blvd Ste 340 B, Tampa, FL 33634-6354 | 2006-09-20 |
| 1841393774 | Elizabeth H. Zable, M.d., P.a. | Exclusive Provider Organization | 16594 North Dalee Mabry Highway, Tampa, FL 33618 | 2006-09-06 |
| 1336194257 | Central Florida Behavioral Health Network, Inc. | Exclusive Provider Organization | 719 S Us Highway 301, Tampa, FL 33619-4349 | 2006-05-23 |
| 1235527706 | Carlos B Pagan Md | Exclusive Provider Organization | 3677 W Waters Ave, Tampa, FL 33614-2783 | 2015-01-06 |
| 1851720924 | Argus Dental and Vision, Inc. | Exclusive Provider Organization | 4010 W State St, Tampa, FL 33609-1264 | 2013-11-08 |
| 1396972006 | Pain Care & Rehab Center Inc | Exclusive Provider Organization | 8441 W Linebaugh Ave, Tampa, FL 33625-3729 | 2009-06-20 |
| Find all providers in TAMPA | ||||
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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.