Active NPI
Complete Health of Tampa Bay PA
Doing business as Complete Health of Tampa Bay
- Internal Medicine Physician
- Valrico, FL
National Provider Identifier
1124190012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME91078
- Legal business name
- COMPLETE HEALTH OF TAMPA BAY PA
- Doing business as
- Complete Health of Tampa Bay
- Practice address
- 1426 Bloomingdale Ave
Valrico, FL 33594-6110 - Phone
- (813) 684-8020
- Fax
- (813) 662-6968
- NPI assigned
- Nov 15, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Vera Saprounova, MD
- Title
- Ceo
- Phone
- (813) 684-8020
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME91078 | FL | Primary |
Addresses
Primary practice location
1426 Bloomingdale Ave
Valrico, FL 33594-6110
Mailing address
1426 Bloomingdale Ave
Valrico, FL 33594-6110
Phone (813) 684-8020
Other names 1
- Complete Health of Tampa Bay
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
571 S Duncan Ave
Clearwater, FL 33756
Phone (727) 789-0777
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Valrico, FL
- NPI 1033193305
-
- Gerontology Nurse Practitioner
- Palm Harbor, FL
- NPI 1003707431
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1621900800000",
"number": "1124190012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1426 BLOOMINGDALE AVE",
"city": "VALRICO",
"state": "FL",
"postal_code": "335946110",
"telephone_number": "813-684-8020",
"fax_number": "813-662-6968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1426 BLOOMINGDALE AVE",
"city": "VALRICO",
"state": "FL",
"postal_code": "335946110",
"telephone_number": "813-684-8020",
"fax_number": "813-662-6968"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPLETE HEALTH OF TAMPA BAY PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-15",
"last_updated": "2021-05-25",
"certification_date": "2021-05-25",
"status": "A",
"authorized_official_last_name": "SAPROUNOVA",
"authorized_official_first_name": "VERA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "813-684-8020",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME91078",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Complete Health of Tampa Bay",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Valrico, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; 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.