Organization Active NPI

Reliance Healthcare Management Solutions, LLC

  • Case Management Agency
  • Tampa, FL
National Provider Identifier
1366713612
Registry record updated Jan 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
46393 Issued in FL
Legal business name
RELIANCE HEALTHCARE MANAGEMENT SOLUTIONS, LLC
Practice address
3111 W Dr Martin Luther King Jr Blvd
Suite 100
Tampa, FL 33607-6235
Phone
(813) 868-7708
Fax
(813) 962-3401
NPI assigned
Jan 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2012

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

Authorized official

Name
Dr. Emile C Commedore, M.D.NPI 1952415960
Title
Ceo
Phone
(813) 690-1160

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 46393 FL Primary

Addresses

Primary practice location

3111 W Dr Martin Luther King Jr Blvd
Suite 100
Tampa, FL 33607-6235

Mailing address

PO Box 271386
Tampa, FL 33688-1386
Phone (813) 868-7708

Other names 1

  • Reliance Health Network Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1326844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326844800000",
    "number": "1366713612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 271386",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336881386",
            "telephone_number": "813-868-7708",
            "fax_number": "813-962-3401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 W DR MARTIN LUTHER KING JR BLVD",
            "address_2": "SUITE 100",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076235",
            "telephone_number": "813-868-7708",
            "fax_number": "813-962-3401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIANCE HEALTHCARE MANAGEMENT SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-18",
        "last_updated": "2012-01-18",
        "status": "A",
        "authorized_official_last_name": "COMMEDORE",
        "authorized_official_first_name": "EMILE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "813-690-1160",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "FL",
            "license": "46393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reliance Health Network",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 18, 2012; 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.