Tampa Bay Emergency Physicians-Heartland LLC
Organization Active NPI Emergency Medicine Physician · Sebring, FL
NPI 1043661408 · NPPES record last updated Mar 29, 2017
Key facts
- NPI
- 1043661408
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- TAMPA BAY EMERGENCY PHYSICIANS-HEARTLAND LLC
- Practice address
- 4200 Sun N Lake Blvd
Sebring, FL 33872-1986 - Phone
- (330) 493-4443
- NPI assigned
- Jun 28, 2016
- Organization subpart
- No
Authorized official
- Name
- Brian Baker
- Title
- Executive Director
- Phone
- (330) 493-4443
Practitioners 368
-
Francisco Jose Atez, M.D.
-
Jenna Bogusky, ARNP
-
Carly M Cepelak, PA-C
-
Donald G Dawkins, DO
-
Vail Lee Dewan, MD
-
William Anthony Fields, M.D.
-
Carla K Garcia, FNP
-
Tyler Littmann, DO
-
Stefania Markou, DO
-
Bahar Miah, M.D.
-
Heather Marie Moody III, ARNP
-
Michael Patch, M.D.
-
Kendall Michelle Rockler, M.D.
-
David Charles Seaberg, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160920000442 | FL | Part B Supplier - Clinic/Group Practice | 0749577781 |
Receives reassigned benefits from 368 practitioners Practice locations: Belleview, FL; Lake Placid, FL; Ocala, FL; Riverview, FL; Sebring, FL; Tampa, FL; Wauchula, FL |
National Provider Directory
Locations
6006 SE Abshier Blvd
Belleview, FL 34420
Phone (352) 368-3443
735 S 5th Ave
Wauchula, FL 33873
Phone (863) 402-3402
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | Yes |
Addresses
Primary practice location
4200 Sun N Lake Blvd
Sebring, FL 33872-1986
Mailing address
4535 Dressler Rd NW
Canton, OH 44718-2545
Phone (330) 493-4443
Other providers in Sebring, FL
- Synergy of Minds Inc.
- Tadserh Serralta, Inc.
- Douglas Talbott
- Mary Michelle Tamayo
- Percival Mindoro Tamayo
- Rishabh Tandon
- Maryanne Tanguay Higgins
- Christopher Tangunan
- Ray Hernando Tangunan
- Lourdy P Tanis
All providers in Sebring, FL · Emergency Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 29, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.