Organization Active NPI

Prime Health Partners LLC

  • Physical Medicine & Rehabilitation Physician
  • Clearwater, FL
National Provider Identifier
1124551429
Registry record updated Apr 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
OS6109 Issued in FL
Legal business name
PRIME HEALTH PARTNERS LLC
Practice address
14100 US Highway 19 N
Suite 132
Clearwater, FL 33764-7241
Phone
(727) 439-2677
Fax
(727) 431-6870
NPI assigned
Apr 4, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2017

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

Authorized official

Name
Mr. Zeff Rafael Bona
Title
Owner
Phone
(727) 787-1260

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208100000X OS6109 FL Primary
Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

14100 US Highway 19 N
Suite 132
Clearwater, FL 33764-7241

Mailing address

1694 Bayhill Dr
Oldsmar, FL 34677-1956
Phone (727) 439-2677

National Provider Directory

National Provider Directory

Locations

14100 US Highway 19 N
Ste 132
Clearwater, FL 33764
Phone (727) 439-2677

NPI Registry JSON

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

{
    "created_epoch": "1491264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492041600000",
    "number": "1124551429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1694 BAYHILL DR",
            "city": "OLDSMAR",
            "state": "FL",
            "postal_code": "346771956",
            "telephone_number": "727-439-2677",
            "fax_number": "727-431-6870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14100 US HIGHWAY 19 N",
            "address_2": "SUITE 132",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337647241",
            "telephone_number": "727-439-2677",
            "fax_number": "727-431-6870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME HEALTH PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-04",
        "last_updated": "2017-04-13",
        "status": "A",
        "authorized_official_last_name": "BONA",
        "authorized_official_first_name": "ZEFF",
        "authorized_official_middle_name": "RAFAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-787-1260",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "OS6109",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2017; 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.