MD Medicare Choice

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

H5729 Issued in FL

Legal business name

MD MEDICARE CHOICE

Practice address

5501 W Waters Ave
Suite 401
Tampa, FL 33634-1229

Phone

(813) 901-9208

Fax

(813) 901-9209

NPI assigned

Dec 20, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Jose Esparra Cansobre

Title

Chief Financial Officer

Phone

(813) 901-9208

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198108800000",
    "number": "1326222795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 W WATERS AVE",
            "address_2": "SUITE 401",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336341229",
            "telephone_number": "813-901-9208",
            "fax_number": "813-901-9209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 W WATERS AVE",
            "address_2": "SUITE 401",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336341229",
            "telephone_number": "813-901-9208",
            "fax_number": "813-901-9209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD MEDICARE CHOICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-20",
        "last_updated": "2007-12-20",
        "status": "A",
        "authorized_official_last_name": "CANSOBRE",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "ESPARRA",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "18139019208",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "FL",
            "license": "H5729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MD and Wellness Center Inc
• MD Care Home Health Inc
• MD Care Hospice Inc
• MD Care, LLC
• MD Health RX Solutions, LLC (OnMed)
• MD Now Medical Centers Inc (MD Now Urgent Care)
• MD Partners Group LLC
• MD Scooters Express Corporation
• Mdrides, LLC
• MDS Tampa PLLC

• Health Maintenance Organization in Tampa, FL
• Providers in Tampa, FL by specialty
• Health Maintenance Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2007; 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.