Amerimed Diagnostic Services, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

MM21087 Issued in FL

Legal business name

AMERIMED DIAGNOSTIC SERVICES, INC.

Practice address

500 W Martin Luther King Blvd
Tampa, FL 33603-3402

Phone

(813) 307-0933

Fax

(813) 307-0657

NPI assigned

Aug 12, 2009

Last updated

Aug 12, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Guidover Manso

Title

President

Phone

(813) 307-0933

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Samy Farid Bishai, M.D

  • Orthopaedic Surgery Physician
  • St Augustine, FL
  • NPI 1760491757
  NPD (past)

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

{
    "created_epoch": "1250035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250035200000",
    "number": "1295967107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W MARTIN LUTHER KING BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336033402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W MARTIN LUTHER KING BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336033402",
            "telephone_number": "813-307-0933",
            "fax_number": "813-307-0657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERIMED DIAGNOSTIC SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-12",
        "last_updated": "2009-08-12",
        "status": "A",
        "authorized_official_last_name": "MANSO",
        "authorized_official_first_name": "GUIDOVER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-307-0933"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "MM21087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA",
            "identifier": "HCC3985",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• American Supply & Equipment Corp
• American Supply & Equipment Corp.
• American Well Care, Inc.
• Americare Home Health Agency Inc
• Amerigroup Florida, Inc.
• Ameripath Florida LLC
• Ameripath Florida LLC (AmeriPath Central Florida (ACF))
• Ameripath Florida LLC
• Ameriwound Physicians FL LLC
• Erica Marie Amerson, MS CCCSLP

• Specialist in Tampa, FL
• Providers in Tampa, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2009; 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.