American Well Care, Inc.

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

MD0069491 Issued in FL

Legal business name

AMERICAN WELL CARE, INC.

Practice address

6802 N. Armenia Ave
Tampa, FL 33604

Phone

(813) 935-3283

Fax

(813) 935-3748

NPI assigned

Oct 19, 2009

Last updated

Oct 19, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sydd Legrande, MD

Title

MD

Phone

(813) 935-3283

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1255910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255910400000",
    "number": "1053647545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6802 N. ARMENIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33604",
            "telephone_number": "813-935-3283",
            "fax_number": "813-935-3748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6802 N. ARMENIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33604",
            "telephone_number": "813-935-3283",
            "fax_number": "813-935-3748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN WELL CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-19",
        "last_updated": "2009-10-19",
        "status": "A",
        "authorized_official_last_name": "LEGRANDE",
        "authorized_official_first_name": "SYDD",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "813-935-3283",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "MD0069491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pain Medicine (Anesthesiology) Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Pain Medicine (Anesthesiology) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.

Verify at the official NPI Registry.