Individual provider Active NPI

Michael Anthony Loguidice Sr., D.O.

  • Emergency Medicine Physician
  • Lutz, FL
National Provider Identifier
1063487635
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
OS8587 Issued in FL
Practice address
23110 Sr 54 #328
Lutz, FL 33549
Phone
(727) 808-7123
NPI assigned
Feb 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 1404 SC
Emergency Medicine Physician 207P00000X OS8587 FL Primary

Addresses

Primary practice location

23110 Sr 54 #328
Lutz, FL 33549

Mailing address

23110 Sr 54 #328
Lutz, FL 33549
Phone (727) 808-7123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, SC, GA, TN4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20041014000972 FL Practitioner - Emergency Medicine 1850351743 Reassigns benefits to 6 organizations
I20101005000477 SC Practitioner - Emergency Medicine 1850351743 Reassigns benefits to 1 organization
I20130131000217 GA Practitioner - Emergency Medicine 1850351743 Reassigns benefits to 5 organizations
I20221013003051 TN Practitioner - Emergency Medicine 1850351743 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Guidewell Emergency Medicine Doctors, LLCGroup PAC ID 8224352919, 88 clinicians

Practice addresses (Care Compare)

16318 N Dale Mabry Hwy
Tampa, FL 33618-1341
Phone (813) 576-0077

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
1404SCMDAthletic Trainer
2527TNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist University Emergency Physicians PLLC Emergency Medicine CurrentSince Jun 10, 2024 Accepting new patients
Emergency Group of Columbus, LLC Emergency Medicine CurrentSince Jan 14, 2024 Accepting new patients
Methodist South Emergency Physicians, PLLC Emergency Medicine CurrentSince Jun 10, 2024 Accepting new patients
W4P LLC Emergency Medicine CurrentSince Jul 15, 2018 Accepting new patients
Guidewell Emergency Medicine Doctors, LLC CurrentSince Apr 9, 2021 Accepting new patients
Pensacola Emergency Physicians, LLC Emergency Medicine Current Accepting new patients
App of South Carolina Ed PLLC Emergency Medicine CurrentSince Oct 5, 2022 Accepting new patients
Methodist North Emergency Physicians, PLLC Emergency Medicine CurrentSince Jun 10, 2024 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients
App of Tennessee Ed, PLLC Emergency Medicine CurrentSince Oct 7, 2022 Accepting new patients
Em Alliance LLC Emergency Medicine CurrentSince Nov 7, 2023 Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Jan 1, 2013 Accepting new patients
Lagrange Emergency Physicians, LLC Emergency Medicine CurrentSince Dec 6, 2023 Accepting new patients
Emergency Medicine Services of FL, LLC Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Germantown Emergency Physicians, PLLC Emergency Medicine CurrentSince Jun 10, 2024 Accepting new patients
Heritage Physician Services, LLC Emergency Medicine CurrentSince Jan 14, 2024 Accepting new patients
Tampa General Hospital Current Accepting new patients
Houston County Emergency Group, LLC Emergency Medicine CurrentSince Dec 6, 2023 Accepting new patients
Pensacola Emergency Physicians, LLC Emergency Medicine CurrentSince Jan 15, 2024 Accepting new patients
Houston County Emergency Group, LLC Emergency Medicine CurrentSince Dec 6, 2023 Accepting new patients
Maritime ER SVCS Partnership LLC Emergency Medicine Past Accepting new patients
Fox Mountain Emergency Physicians Emergency Medicine Past Accepting new patients
Florida Em-I Medical Services PA Emergency Medicine Past Accepting new patients
Kinston Physicians Group, PLLC Emergency Medicine PastSince Apr 19, 2020 Accepting new patients
Inphynet Contracting Services LLC Emergency Medicine Past Accepting new patients
Rainier Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Guidewell Emergency Medicine Doctors, LLC PastSince Apr 6, 2025 Accepting new patients
North Carolina Em-I Medical Services PC Past Accepting new patients
Sunshine City Emergency Physicians Emergency Medicine Past Accepting new patients

Locations (25 of 42)

206 2nd St E
Bradenton, FL 34208
Phone (941) 745-7202

5506 14th St W
Bradenton, FL 34207
Phone (941) 745-7372

119 Oakfield Dr
Brandon, FL 33511
Phone (813) 571-5150

17240 Cortez Blvd
Brooksville, FL 34601
Phone (352) 544-6060

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

502 W Highland Blvd
Inverness, FL 34452
Phone (352) 344-6481

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

35750 US Highway 19 N
Palm Harbor, FL 34684
Phone (727) 789-8420

123 Baptist Way
Pensacola, FL 32503
Phone (850) 434-4011

3065 James L Redman Pkwy
Plant City, FL 33566
Phone (813) 759-4900

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

1800 SE Tiffany Ave
Port St Lucie, FL 34952
Phone (772) 398-1969

12530 US Highway 301 S
Riverview, FL 33578
Phone (813) 413-3888

10461 Quality Dr
Spring Hill, FL 34609
Phone (352) 688-3002

6500 38th Ave N
St Petersburg, FL 33710
Phone (727) 341-4870

6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411

16318 N Dale Mabry Hwy
Tampa, FL 33618
Phone (813) 576-0077

12922 Sheldon Rd
Tampa, FL 33626
Phone (813) 282-2850

5234 E Fowler Ave
Temple Terrace, FL 33617
Phone (813) 496-2744

9330 State Road 54
Trinity, FL 34655
Phone (727) 834-4000

10101 Forest Hill Blvd
West Palm Beach, FL 33414
Phone (561) 766-1301

16504 US 301 S
Wimauma, FL 33598
Phone (813) 642-1000

113 N Orlando Ave
Winter Park, FL 32789
Phone (407) 801-8400

100 Frist Ct
Columbus, GA 31909
Phone (706) 494-2100

Interoperability endpoints

  • Direct secure messaging: mloguidice296139@direct.tgh.org
  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: mloguidice872703@direct.ghs.myhfn.org
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 30

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1063487635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23110 SR 54 #328",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "33549",
            "telephone_number": "727-808-7123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23110 SR 54 #328",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "33549",
            "telephone_number": "727-808-7123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGUIDICE",
        "first_name": "MICHAEL",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SC",
            "license": "1404",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "OS8587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutz, FL

Sources for this page

Verify at the official NPI Registry.