Organization 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
Registry record updated May 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME91078 Issued in FL
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

Updated by the provider on May 25, 2021

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

Authorized official

Name
Dr. Vera Saprounova, MDNPI 1033193305
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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080701000354 FL Part B Supplier - Clinic/Group Practice 2264464734 Receives reassigned benefits from 2 practitioners
Practice locations: Valrico, FL

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.