Individual provider Active NPI

Andrew Peter Villamagna Jr., MD

  • Family Medicine Physician
  • Brandon, FL
National Provider Identifier
1578510889
Registry record updated Aug 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME 103904 Issued in FL
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
146MROtherFLFLORIDA BLUE
2115144OtherFLCOVENTRY
001034100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100215000095 FL Practitioner - Family Practice 6002900545 Reassigns benefits to 2 organizations
I20170901001777 CO Practitioner - Family PracticePractitioner - Other (Physician) 6002900545 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 103904FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kremmling Memorial Hospital District CurrentSince Aug 1, 2017 Accepting new patients
MCR Health, Inc. Family Medicine CurrentSince Sep 14, 2018 Accepting new patients
Kremmling Memorial Hospital District CurrentSince Aug 1, 2017 Accepting new patients
Dedicated Senior Medical Center of Florida, LLC CurrentSince Jan 1, 2021 Accepting new patients
MCR Health, Inc. CurrentSince Sep 14, 2018 Accepting new patients
Dedicated Senior Medical Center of Florida, LLC CurrentSince Jan 1, 2021 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.

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

Verify at the official NPI Registry.