Florida Ionm PLLC

Primary specialty

Electrodiagnostic Medicine PhysicianTaxonomy code 204R00000X

Legal business name

FLORIDA IONM PLLC

Practice address

4726 N Habana Ave Ste 100
Tampa, FL 33614-7144

Phone

(813) 769-8855

Fax

(813) 569-1759

NPI assigned

Jun 7, 2017

Organization subpart

No

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

Authorized official

Name

Joshua Helms

Title

Chief Operating Officer

Phone

(813) 549-2134

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1496793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661299200000",
    "number": "1598294100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 947583",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303947583",
            "telephone_number": "813-549-2134",
            "fax_number": "813-569-1759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4726 N HABANA AVE STE 100",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336147144",
            "telephone_number": "813-769-8855",
            "fax_number": "813-569-1759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA IONM PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-07",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-08",
        "status": "A",
        "authorized_official_last_name": "HELMS",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "813-549-2134"
    },
    "taxonomies": [
        {
            "code": "204R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Electrodiagnostic Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; 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.