Organization Active NPI

Felicia Spuza M.D.,PA

  • General Practice Physician
  • St Petersburg, FL
National Provider Identifier
1144464397
Registry record updated Mar 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME0026372 Issued in FL
Legal business name
FELICIA SPUZA M.D.,PA
Practice address
6101 Dr Martin Luther King St N
St Petersburg, FL 33703-1141
Phone
(727) 527-6200
Fax
(727) 527-3526
NPI assigned
Apr 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2010

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

Authorized official

Name
Mrs. Tracy Suzanne Milanese
Title
Office Manager
Phone
(727) 527-6200

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207K00000X ME0026372 FL
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X ME0026372 FL
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X ME00226372 FL
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X ME0026372 FL Primary

Addresses

Primary practice location

6101 Dr Martin Luther King St N
St Petersburg, FL 33703-1141

Mailing address

6101 Dr Martin Luther King St N
St Petersburg, FL 33703-1141
Phone (727) 527-6200

Other identifiers 1

IdentifierTypeStateIssuer
057766900MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1241049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269302400000",
    "number": "1144464397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 DR MARTIN LUTHER KING ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337031141",
            "telephone_number": "727-527-6200",
            "fax_number": "727-527-3526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 DR MARTIN LUTHER KING ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337031141",
            "telephone_number": "727-527-6200",
            "fax_number": "727-527-3526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FELICIA SPUZA M.D.,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-30",
        "last_updated": "2010-03-23",
        "status": "A",
        "authorized_official_last_name": "MILANESE",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "SUZANNE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "727-527-6200",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": "FL",
            "license": "ME0026372",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0026372",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME00226372",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME0026372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "057766900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2010; 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.