NPIMap

Organization Active NPI

DRS. Dolgin, Donnelly, Davis & Associates PA

  • Specialist
  • Tampa, FL
National Provider Identifier
1346272820
Registry record updated Oct 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME0060810 Issued in FL
Legal business name
DRS. DOLGIN, DONNELLY, DAVIS & ASSOCIATES PA
Practice address
4714 N Armenia Ave
Suite 200
Tampa, FL 33603-2603
Phone
(813) 872-8794
Fax
(813) 879-1652
NPI assigned
Jul 7, 2006
Last updated
Oct 10, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2014

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

Authorized official

Name
Dr. Sanford R Dolgin, M.D.NPI 1962494815
Title
President
Phone
(813) 872-8794

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME0060810 FL Primary

Addresses

Primary practice location

4714 N Armenia Ave
Suite 200
Tampa, FL 33603-2603

Mailing address

4714 N Armenia Ave
Suite 200
Tampa, FL 33603-2603
Phone (813) 872-8794

Other identifiers 3

IdentifierTypeStateIssuer
251782500MedicaidFL
251793100MedicaidFL
261536300MedicaidFL

National Provider Directory

National Provider Directory

Locations

4700 N Habana Ave
Ste 602
Tampa, FL 33614
Phone (813) 872-8794

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412899200000",
    "number": "1346272820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4714 N ARMENIA AVE",
            "address_2": "SUITE 200",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336032603",
            "telephone_number": "813-872-8794",
            "fax_number": "813-879-1652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4714 N ARMENIA AVE",
            "address_2": "SUITE 200",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336032603",
            "telephone_number": "813-872-8794",
            "fax_number": "813-879-1652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS. DOLGIN, DONNELLY, DAVIS & ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2014-10-10",
        "status": "A",
        "authorized_official_last_name": "DOLGIN",
        "authorized_official_first_name": "SANFORD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-872-8794",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0060810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251782500",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251793100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "261536300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2014; 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.