Sycamore Med Inc,

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

ME111281 Issued in FL

Legal business name

SYCAMORE MED INC,

Practice address

320 W Fletcher Ave Ste 102
Tampa, FL 33612-3400

Phone

(813) 679-5276

Fax

(813) 354-3638

NPI assigned

Sep 15, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Lisa Patel, MDNPI 1528211042

Title

Owner

Phone

(917) 855-4500

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Lisa Sumantlal Patel, MD

  • Anesthesiology Physician
  • Lutz, FL
  • NPI 1528211042
  NPD Authorized official

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

{
    "created_epoch": "1505433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1568981082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17010 VILESTA DR",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335487209",
            "telephone_number": "917-855-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 W FLETCHER AVE STE 102",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336123400",
            "telephone_number": "813-679-5276",
            "fax_number": "813-354-3638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYCAMORE MED INC,",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-15",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-855-4500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME111281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03064197",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher James Swink, CRNA
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• James Dan Switzer, P.T.
• David Swoboda, MD
• Annelise Delaney Swords, DO
• Sydney'S School
• Fathimazzohare Syed, M.D.
• Misbahuddin Syed, M.D.
• Rashid Zaheer Syed, M.B;B.S., M.D.
• Sykes Enterprises Incorporated

• Anesthesiology Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Anesthesiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.