Physician Partners of America Florida Medical Holdings LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

PHYSICIAN PARTNERS OF AMERICA FLORIDA MEDICAL HOLDINGS LLC

Doing business as

Florida Primary Care Clinics

Practice address

4726 N Habana Ave
Suite 203
Tampa, FL 33614-7144

Phone

(813) 549-2134

Fax

(813) 870-1383

NPI assigned

Jun 25, 2015

Last updated

Jun 25, 2015By the provider in NPPES

Organization subpart

Yes

Parent organization

PHYSICIAN PARTNERS OF AMERICA FLORIDA MEDICAL HOLDINGS LLCAs reported in NPPES

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

Authorized official

Name

David Wood

Title

Manager

Phone

(813) 549-2134

Specialties & licenses 2

Addresses

Other names 1

• Florida Primary Care Clinics Doing business as

Part of

Physician Partners of America Florida Medical Holdings LLC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Physician Partners of America Florida Medical Holdings LLC

  • Family Medicine Physician
  • Tampa, FL
  • NPI 1932581071
  NPPES parent name

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.

• Heidi Mattison

  • Family Nurse Practitioner
  • Tampa, FL
  • NPI 1043667520
  NPD (past)

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

{
    "created_epoch": "1435190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435190400000",
    "number": "1386026342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4730 N HABANA AVE",
            "address_2": "SUITE 204",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336147163",
            "telephone_number": "813-549-2134",
            "fax_number": "813-870-1383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4726 N HABANA AVE",
            "address_2": "SUITE 203",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336147144",
            "telephone_number": "813-549-2134",
            "fax_number": "813-870-1383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN PARTNERS OF AMERICA FLORIDA MEDICAL HOLDINGS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHYSICIAN PARTNERS OF AMERICA FLORIDA MEDICAL HOLDINGS LLC",
        "enumeration_date": "2015-06-25",
        "last_updated": "2015-06-25",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "813-549-2134"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Florida Primary Care Clinics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Nurse Practitioner in Tampa, FL
• Providers in Tampa, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2015; 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.