Organization Active NPI

Diagnostic Pathology of Florida Suncoast, PA

  • Anatomic Pathology & Clinical Pathology Physician
  • Spring Hill, FL
National Provider Identifier
1396845400
Registry record updated Jun 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
Legal business name
DIAGNOSTIC PATHOLOGY OF FLORIDA SUNCOAST, PA
Practice address
10461 Quality Dr
Spring Hill, FL 34609-9634
Phone
(305) 665-4614
Fax
(305) 667-0239
NPI assigned
Sep 25, 2006
Last updated
Jun 12, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2020

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

Authorized official

Name
Ledwina Colina, M.D.NPI 1245310523
Title
MD
Phone
(352) 688-8200

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
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X NU Primary

Addresses

Primary practice location

10461 Quality Dr
Spring Hill, FL 34609-9634

Mailing address

5901 SW 74TH St
Suite 202
Miami, FL 33143-5165
Phone (305) 665-4614

Other identifiers 1

IdentifierTypeStateIssuer
379639600MedicaidFL

National Provider Directory

National Provider Directory

Locations

7281 Sunshine Grove Rd
Ste 121
Brooksville, FL 34613
Phone (352) 592-5143

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591920000000",
    "number": "1396845400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 SW 74TH ST",
            "address_2": "SUITE 202",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331435165",
            "telephone_number": "305-665-4614",
            "fax_number": "305-667-0239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10461 QUALITY DR",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346099634",
            "telephone_number": "305-665-4614",
            "fax_number": "305-667-0239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAGNOSTIC PATHOLOGY OF FLORIDA SUNCOAST, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A",
        "authorized_official_last_name": "COLINA",
        "authorized_official_first_name": "LEDWINA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "352-688-8200",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "379639600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2020; 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.