Tampa Bay Telehealth LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME 88586 Issued in FL

Legal business name

TAMPA BAY TELEHEALTH LLC

Doing business as

MyOnCallDoc

Practice address

5511 Park St N
Suite 101
St Petersburg, FL 33709-6309

Phone

(727) 441-9000

NPI assigned

Dec 16, 2015

Last updated

Dec 16, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Craig Lee Zurman

Title

Ceo

Phone

(727) 441-9000

Specialties & licenses 1

Addresses

Other names 1

• MyOnCallDoc Doing business as

Locations

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

{
    "created_epoch": "1450224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450224000000",
    "number": "1487019519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5511 PARK ST N",
            "address_2": "SUITE 101",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337096309",
            "telephone_number": "727-441-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5511 PARK ST N",
            "address_2": "SUITE 101",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337096309",
            "telephone_number": "727-441-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMPA BAY TELEHEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-16",
        "last_updated": "2015-12-16",
        "status": "A",
        "authorized_official_last_name": "ZURMAN",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "727-441-9000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME 88586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MyOnCallDoc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Internal Medicine Physician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.