Active NPI
Prime Health Partners LLC
- Physical Medicine & Rehabilitation Physician
- Clearwater, FL
National Provider Identifier
1124551429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- OS6109
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | OS6109 | FL | Primary |
| Nurse Practitioner | 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 DirectoryLocations
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.