P3 Health Partners-Florida LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

P3 HEALTH PARTNERS-FLORIDA LLC

Practice address

13501 Icot Blvd Ste 114
Clearwater, FL 33760-3729

Phone

(727) 754-7880

Fax

(727) 754-7885

NPI assigned

Dec 27, 2022

Organization subpart

No

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

Authorized official

Name

Beverly Dendary

Title

Credentialing Supervisor

Phone

(702) 910-3950

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

P3 Health Partners Medical Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• P3 Health Partners-FL LLC

  • Clinic/Center
  • Apollo Beach, FL
  • NPI 1518665314
  NPD tax ID

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

{
    "created_epoch": "1672099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672099200000",
    "number": "1205549029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2370 CORPORATE CIR STE 300",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747760",
            "telephone_number": "702-910-3950",
            "fax_number": "702-786-6650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13501 ICOT BLVD STE 114",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337603729",
            "telephone_number": "727-754-7880",
            "fax_number": "727-754-7885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P3 HEALTH PARTNERS-FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-27",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A",
        "authorized_official_last_name": "DENDARY",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_title_or_position": "CREDENTIALING SUPERVISOR",
        "authorized_official_telephone_number": "702-910-3950"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108887000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Oliver N. Oyama, PH.D, PA-C
• Addison Aydin Ozakyol
• Delia Villanueva Ozoa, REGISTERED NURSE
• P.B. & R'S Enterprises LLC
• P&K Medical Supplies & Equipment, Inc.
• Sheila Pabon, M.D
• Hadleigh Pagano
• Christina Page, ATC, OT-C
• Rajendra Kochikar Pai, M D
• Pain Care at Home

• Clinic/Center in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.