Doctors Diet Program of South Florida PLLC

Primary specialty

Clinic PharmacyTaxonomy code 3336C0002X

Legal business name

DOCTORS DIET PROGRAM OF SOUTH FLORIDA PLLC

Practice address

1501 W Reynolds St
Plant City, FL 33563-4707

Phone

(813) 519-3438

Fax

(813) 280-2258

NPI assigned

Jul 10, 2019

Organization subpart

Yes

Parent organization

DOCTORS DIET PROGRAM OF SOUTH FLORIDA PLLCAs reported in NPPES

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

Authorized official

Name

James Lowrance

Title

Dir of Clinic Operations

Phone

(813) 957-6281

Specialties & licenses 1

Addresses

Tax ID family

Doctors Diet Program of South Floridapllc3 organizations share this tax ID, including this one

Part of

Doctors Diet Program of South Floridapllc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Doctors Diet Program of South Florida PLLC

  • Clinic Pharmacy
  • Wesley Chapel, FL
  • NPI 1568014678
  NPD tax ID
• Doctors Diet Program of South Floridapllc

  • Clinic/Center
  • Tampa, FL
  • NPI 1043718034
  NPD tax ID

Locations

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

{
    "created_epoch": "1562716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562716800000",
    "number": "1114579158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3345 S DALE MABRY HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336297817",
            "telephone_number": "813-839-3438",
            "fax_number": "813-280-2258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 W REYNOLDS ST",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335634707",
            "telephone_number": "813-519-3438",
            "fax_number": "813-280-2258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS DIET PROGRAM OF SOUTH FLORIDA PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DOCTORS DIET PROGRAM OF SOUTH FLORIDA PLLC",
        "enumeration_date": "2019-07-10",
        "last_updated": "2019-07-10",
        "status": "A",
        "authorized_official_last_name": "LOWRANCE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "DIR OF CLINIC OPERATIONS",
        "authorized_official_telephone_number": "813-957-6281"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Belle Dimond
• Donna Disanti, APRN
• DNP-Derm LLC
• Jennifer Dobies, REGISTERLMHCINTERN
• Doctor Bou Pediatrics Inc
• Scott Torres Dona, MD
• Urshela Dorsett
• Judith Driskell, PSY.S.
• DRS. Howell, Whitehead and Associates, PA
• Julia Dudkiewicz, PA-C

• Clinic Pharmacy in Plant City, FL
• Providers in Plant City, FL by specialty
• Clinic Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; 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.