Active NPI
Southwest Florida Rheumatology LLC
- Rheumatology Physician
- Riverview, FL
National Provider Identifier
1013245174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- ME96110
- Legal business name
- SOUTHWEST FLORIDA RHEUMATOLOGY LLC
- Practice address
- 11952 Boyette Rd
Riverview, FL 33569-5601 - Phone
- (813) 321-7411
- Fax
- (813) 661-9745
- NPI assigned
- Dec 1, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Shaumugapriya G Reddy, MD
- Title
- Managing Member
- Phone
- (813) 321-7411
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | ME96110 | FL | Primary |
Addresses
Primary practice location
11952 Boyette Rd
Riverview, FL 33569-5601
Mailing address
PO Box 2779
Riverview, FL 33568-2779
Phone (813) 321-7411
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Rheumatology Physician
- Riverview, FL
- NPI 1710039045
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259625600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1259625600000",
"number": "1013245174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2779",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "335682779",
"telephone_number": "813-321-7411",
"fax_number": "813-661-9745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11952 BOYETTE RD",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "335695601",
"telephone_number": "813-321-7411",
"fax_number": "813-661-9745"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHWEST FLORIDA RHEUMATOLOGY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-12-01",
"last_updated": "2009-12-01",
"status": "A",
"authorized_official_last_name": "REDDY",
"authorized_official_first_name": "SHAUMUGAPRIYA",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "813-321-7411",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Rheumatology",
"state": "FL",
"license": "ME96110",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverview, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.