Florida Department of Health

A Medicare group practice based in Tampa, FL: 77 NPIs enrolled under one PECOS associate control ID (PAC ID 3072424282), with 338 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
3072424282The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
MDPP Supplier - in-Person MDPP Supplier, Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice, Part B Supplier - Independent Clinical Laboratory, Part B Supplier - Pharmacy, Part B Supplier - Public Health/We
Enrolled in
FL
Enrollments
73
Group size
126 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
140In 107 places

Enrollment records 73

Enrollment IDStateProvider typeNPI
O20031105000120 FL Part B Supplier - Clinic/Group Practice 1821066028
O20031106000212 FL Part B Supplier - Clinic/Group Practice 1669446811
O20031120000063 FL Part B Supplier - Clinic/Group Practice 1558321521
O20031126000379 FL Part B Supplier - Clinic/Group Practice 1184688947
O20040212000034 FL Part B Supplier - Clinic/Group Practice 1376511915
O20040114000296 FL Part B Supplier - Clinic/Group Practice 1407828189
O20040105000636 FL Part B Supplier - Clinic/Group Practice 1134189103
O20031229000209 FL Part B Supplier - Clinic/Group Practice 1558339028
O20051008000100 FL Part B Supplier - Clinic/Group Practice 1215906938
O20050924000116 FL Part B Supplier - Clinic/Group Practice 1932149531
O20050930000520 FL Part B Supplier - Clinic/Group Practice 1124090832
O20050604000006 FL Part B Supplier - Clinic/Group Practice 1285738369
O20050331001167 FL Part B Supplier - Clinic/Group Practice 1831158039
O20050426001389 FL Part B Supplier - Clinic/Group Practice 1285600213
O20051128000092 FL Part B Supplier - Clinic/Group Practice 1346214491
O20051107000108 FL Part B Supplier - Clinic/Group Practice 1932177409
O20050901000345 FL Part B Supplier - Clinic/Group Practice 1609849660
O20050829000184 FL Part B Supplier - Clinic/Group Practice 1073580890
O20050908000743 FL Part B Supplier - Clinic/Group Practice 1215973870
O20061222000176 FL Part B Supplier - Public Health/Welfare Agency 1790746535
O20061207000308 FL Part B Supplier - Clinic/Group Practice 1932174240
O20080515000662 FL Part B Supplier - Clinic/Group Practice 1548236623
O20080714000700 FL Part B Supplier - Public Health/Welfare Agency 1568428837
O20080630000197 FL Part B Supplier - Public Health/Welfare Agency 1780647529
O20080811000171 FL Part B Supplier - Clinic/Group Practice 1902879786
O20080306000109 FL Part B Supplier - Public Health/Welfare Agency 1154394922
O20080310000567 FL Part B Supplier - Clinic/Group Practice 1164493664
O20080430000891 FL Part B Supplier - Independent Clinical Laboratory 1184659450
O20050222000220 FL Part B Supplier - Clinic/Group Practice 1376502088
O20050301000323 FL Part B Supplier - Clinic/Group Practice 1780650879
O20040825001552 FL Part B Supplier - Clinic/Group Practice 1932174240
O20040724000002 FL Part B Supplier - Clinic/Group Practice 1023081932
O20041208001052 FL Part B Supplier - Clinic/Group Practice 1851350409
O20041104000805 FL Part B Supplier - Clinic/Group Practice 1710949318
O20041122000254 FL Part B Supplier - Clinic/Group Practice 1386751907
O20041124000254 FL Part B Supplier - Clinic/Group Practice 1083687719
O20050124000920 FL Part B Supplier - Clinic/Group Practice 1649329236
O20041215000660 FL Part B Supplier - Clinic/Group Practice 1558334367
O20050121000107 FL Part B Supplier - Clinic/Group Practice 1982673737
O20040501000018 FL Part B Supplier - Clinic/Group Practice 1487619714
O20040525000679 FL Part B Supplier - Clinic/Group Practice 1720171895
O20071221000271 FL Part B Supplier - Clinic/Group Practice 1659344620
O20191218001181 FL Part B Supplier - Clinic/Group Practice 1598730806
O20190822000811 FL MDPP Supplier - in-Person MDPP Supplier 1932177409
O20210310000631 FL MDPP Supplier - in-Person MDPP Supplier 1285600213
O20181228000197 FL MDPP Supplier - in-Person MDPP Supplier 1124090832
O20120112000058 FL Part B Supplier - Clinic/Group Practice 1205895752
O20090414000118 FL Part B Supplier - Public Health/Welfare Agency 1487724969
O20090402000376 FL Part B Supplier - Public Health/Welfare Agency 1780653766
O20091217000351 FL Part B Supplier - Clinic/Group Practice 1154392686
O20100802001053 FL Part B Supplier - Clinic/Group Practice 1639144033
O20100518000473 FL Part B Supplier - Clinic/Group Practice 1457456121
O20100505000869 FL Part B Supplier - Clinic/Group Practice 1528034170
O20100504000871 FL Part B Supplier - Clinic/Group Practice 1841271715
O20100505000522 FL Part B Supplier - Clinic/Group Practice 1487629200
O20100504000843 FL Part B Supplier - Public Health/Welfare Agency 1386611085
O20100518000211 FL Part B Supplier - Clinic/Group Practice 1679548861
O20100520000870 FL Part B Supplier - Clinic/Group Practice 1639148919
O20100427000796 FL Part B Supplier - Clinic/Group Practice 1013984863
O20100517000888 FL Part B Supplier - Clinic/Group Practice 1245354943
O20100518000300 FL Part B Supplier - Clinic/Group Practice 1548263114
O20100517000771 FL Part B Supplier - Clinic/Group Practice 1396732541
O20100518000150 FL Part B Supplier - Clinic/Group Practice 1447296389
O20130730000321 FL Part B Supplier - Clinic/Group Practice 1407816226
O20131105001970 FL Part A Provider - Federally Qualified Health Center (FQHC) 1164775870
O20151203003173 FL Part B Supplier - Independent Clinical Laboratory 1083678205
O20140616001088 FL Part B Supplier - Clinic/Group Practice 1245200641
O20140717001271 FL Part B Supplier - Clinic/Group Practice 1780759175
O20141111000299 FL Part A Provider - Federally Qualified Health Center (FQHC) 1932174240
O20240805003954 FL Part B Supplier - Pharmacy 1386671105
O20260422002511 FL Part B Supplier - Clinic/Group Practice 1346446895
O20260127001733 FL Part B Supplier - Clinic/Group Practice 1295763712
O20260128004202 FL Part B Supplier - Clinic/Group Practice 1154395390

NPIs in this group 77

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment
Other places (67)
  • Lecanto, FL1
  • Fort White, FL1
  • Lake City, FL1
  • Moore Haven, FL1
  • Blountstown, FL1
  • Monticello, FL1
  • Gulf Breeze, FL1
  • Panama City, FL1
  • Hollywood, FL1
  • Live Oak, FL1
  • Crestview, FL1
  • Fort Walton Beach, FL1
  • Wauchula, FL1
  • Orange City, FL1
  • New Smyrna Beach, FL1
  • Bunnell, FL1
  • Santa Rosa Beach, FL1
  • Laurel Hill, FL1
  • Bonifay, FL1
  • Saint Augustine, FL1
  • Fort Pierce, FL1
  • Port Saint Lucie, FL1
  • Bradenton, FL1
  • Jasper, FL1
  • Immokalee, FL1
  • Melbourne, FL1
  • Titusville, FL1
  • Viera, FL1
  • Naples, FL1
  • Dade City, FL1
  • Palm Coast, FL1
  • Lake Butler, FL1
  • Okeechobee, FL1
  • Fleming Island, FL1
  • Madison, FL1
  • Macclenny, FL1
  • Marianna, FL1
  • Labelle, FL1
  • Clewiston, FL1
  • Apalachicola, FL1
  • Carrabelle, FL1
  • Chipley, FL1
  • Tallahassee, FL1
  • Clermont, FL1
  • Port Charlotte, FL1
  • Kissimmee, FL1
  • Leesburg, FL1
  • Indiantown, FL1
  • Gainesville, FL1
  • Alachua, FL1
  • Stuart, FL1
  • Lakeland, FL1
  • Bartow, FL1
  • Vero Beach, FL1
  • Mayo, FL1
  • Marathon, FL1
  • Tavernier, FL1
  • Ocala, FL1
  • Umatilla, FL1
  • Haines City, FL1
  • Bristol, FL1
  • North Fort Myers, FL1
  • Fort Myers, FL1
  • Sanford, FL1
  • Trenton, FL1
  • Bronson, FL1
  • Quincy, FL1

Clinicians 338

Page 1 of 4

Clinicians who reassign their Medicare benefits to this group (338) or whom Care Compare lists as members (126).

Sources for this page