Active NPI
Andrew Peter Villamagna Jr., MD
- Family Medicine Physician
- Brandon, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME 103904
- Practice address
- 427 S Parsons Ave Ste 120
Brandon, FL 33511-5252 - Phone
- (813) 443-3399
- Fax
- (813) 381-3398
- NPI assigned
- May 30, 2006
- Last updated
- Aug 30, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME 103904 | FL | Primary |
Addresses
Primary practice location
427 S Parsons Ave Ste 120
Brandon, FL 33511-5252
Mailing address
1317 Edgewater Dr # 890
Orlando, FL 32804-6350
Phone (727) 709-1749
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 146MR | Other | FL | FLORIDA BLUE |
| 2115144 | Other | FL | COVENTRY |
| 001034100 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 103904 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kremmling Memorial Hospital District | Current | Accepting new patients | |
| MCR Health, Inc. | Family Medicine | Current | Accepting new patients |
| Kremmling Memorial Hospital District | Current | Accepting new patients | |
| Dedicated Senior Medical Center of Florida, LLC | Current | Accepting new patients | |
| MCR Health, Inc. | Current | Accepting new patients | |
| Dedicated Senior Medical Center of Florida, LLC | Current | Accepting new patients |
Locations
1000 Granby Park Dr S
Granby, CO 80446
Phone (970) 668-5771
855 S Highland Ave
Clearwater, FL 33756
Phone (727) 219-1833
4715 S Florida Ave
Lakeland, FL 33813
Phone (863) 209-7003
7050 Ulmerton Rd
Largo, FL 33771
Phone (727) 777-4540
1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760
12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Miami Gardens, FL
- NPI 1881055366
-
- Federally Qualified Health Center (FQHC)
- Parrish, FL
- NPI 1255376000
Family Medicine
-
dba dba Middle Park Medical Center
- Critical Access Hospital
- Kremmling, CO
- NPI 1619962321
-
- Specialist
- Tampa, FL
- NPI 1700393881
-
dba Riverside Medical Center
- Non-Pharmacy Dispensing Site
- Bradenton, FL
- NPI 1821878745
-
dba Middle Park Medical Center - Fraser
- Critical Access Hospital
- Fraser, CO
- NPI 1093546996
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788048000000",
"number": "1578510889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1317 EDGEWATER DR # 890",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328046350",
"telephone_number": "727-709-1749",
"fax_number": "813-821-9782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "427 S PARSONS AVE STE 120",
"city": "BRANDON",
"state": "FL",
"postal_code": "335115252",
"telephone_number": "813-443-3399",
"fax_number": "813-381-3398"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLAMAGNA",
"first_name": "ANDREW",
"middle_name": "PETER",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-30",
"last_updated": "2026-08-30",
"certification_date": "2026-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME 103904",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA BLUE",
"identifier": "146MR",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COVENTRY",
"identifier": "2115144",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001034100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brandon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.