Family Medical Group of Tampa Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

FAMILY MEDICAL GROUP OF TAMPA INC

Practice address

8011 N Himes Ave Ste 4
Tampa, FL 33614-2700

Phone

(813) 488-1414

Fax

(813) 488-1413

NPI assigned

May 3, 2018

Last updated

May 3, 2018By 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

Juan Perez

Title

Owner

Phone

(813) 488-1414

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Pier D. Frank, M.D.

  • General Practice Physician
  • Tampa, FL
  • NPI 1538135132
  Medicare reassignment NPD
• Odalis Garcia Paneque, APRN

  • Family Nurse Practitioner
  • Tampa, FL
  • NPI 1306519681
  Medicare reassignment NPD
• Lisbet Garrido Samon

  • Family Nurse Practitioner
  • Brandon, FL
  • NPI 1770335168
  Medicare reassignment NPD
• Silvia Maria Pires Betancourt

  • Nurse Practitioner
  • Tampa, FL
  • NPI 1982354833
  Medicare reassignment NPD
• Liban Verdecia Correa, NP

  • Registered Nurse
  • Tampa, FL
  • NPI 1427788348
  Medicare reassignment NPD
• Rugile Nichols, DO

  • Student in an Organized Health Care Education/Training Program
  • Elkhorn, WI
  • NPI 1982285128

  FL

  Medicare reassignment NPD

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

{
    "created_epoch": "1525305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525305600000",
    "number": "1073002218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8011 N HIMES AVE STE 4",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336142700",
            "telephone_number": "813-488-1414",
            "fax_number": "813-488-1413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8011 N HIMES AVE STE 4",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336142700",
            "telephone_number": "813-488-1414",
            "fax_number": "813-488-1413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICAL GROUP OF TAMPA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-03",
        "last_updated": "2018-05-03",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "JUAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-488-1414"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Home Caregivers LLC
• Family Med Services Bayside LLC (Advantis Medical Center)
• Family Med Services LLC
• Family Medical Centers of Tampa Bay PA
• Family Medical Clinic of Hillsborough County Inc.
• Family NP Telemedicine
• Family Physicians of Tampa Bay
• Family Podiatry Group of Tampa, P.a.
• Family Preservation Services
• Family Rehabilitation Group, Inc.

• Primary Care Clinic/Center in Tampa, FL
• Providers in Tampa, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.