Organization Active NPI

Florida Signature Health

  • Internal Medicine Physician
  • Tampa, FL
National Provider Identifier
1477380285
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
FLORIDA SIGNATURE HEALTH
Practice address
777 N Ashley Dr Unit 2307
Tampa, FL 33602-4378
Phone
(908) 477-6795
NPI assigned
Sep 16, 2024
Last updated
Sep 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Authorized official

Name
Pratick Patel, MDNPI 1700311990
Title
Manager
Phone
(908) 477-6795

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
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

777 N Ashley Dr Unit 2307
Tampa, FL 33602-4378

Mailing address

777 N Ashley Dr Unit 2307
Tampa, FL 33602-4378
Phone (908) 477-6795

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241112004588 FL Part B Supplier - Clinic/Group Practice 0648704767 Receives reassigned benefits from 1 practitioner
Practice locations: Tampa, FL

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, 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": "1726444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726444800000",
    "number": "1477380285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 N ASHLEY DR UNIT 2307",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336024378",
            "telephone_number": "908-477-6795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 N ASHLEY DR UNIT 2307",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336024378",
            "telephone_number": "908-477-6795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA SIGNATURE HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-16",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "PRATICK",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "908-477-6795",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.