Active NPI
Morton Plant Mease Health Services Inc
Doing business as Bardmoor Outpatient Center
- Ambulatory Surgical Clinic/Center
- Largo, FL
National Provider Identifier
1598927147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- MORTON PLANT MEASE HEALTH SERVICES INC
- Doing business as
- Bardmoor Outpatient Center
- Practice address
- 8787 Bryan Dairy Rd
Largo, FL 33777-1251 - Phone
- (727) 394-5119
- NPI assigned
- Jun 25, 2008
- Last updated
- Jan 16, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tambyn Cubero
- Title
- Manager
- Phone
- (727) 281-9390
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | NU | Primary |
Addresses
Primary practice location
8787 Bryan Dairy Rd
Largo, FL 33777-1251
Mailing address
PO Box 404841
Atlanta, GA 30384-4841
Phone (813) 852-3272
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07-0519500 | Medicaid | FL |
Other names 1
- Bardmoor Outpatient Center
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214352000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1547596800000",
"number": "1598927147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 404841",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303844841",
"telephone_number": "813-852-3272",
"fax_number": "813-852-3233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8787 BRYAN DAIRY RD",
"city": "LARGO",
"state": "FL",
"postal_code": "337771251",
"telephone_number": "727-394-5119"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MORTON PLANT MEASE HEALTH SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-25",
"last_updated": "2019-01-16",
"status": "A",
"authorized_official_last_name": "CUBERO",
"authorized_official_first_name": "TAMBYN",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "727-281-9390"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "07-0519500",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Bardmoor Outpatient Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Bardmoor Outpatient Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Largo, FL
- Lisa Morris
- Souleika Morris
- Morton Plant Health Services Inc (Bardmoor Outpatient Center)
- Morton Plant Health Services Inc (Bardmoor Rehab Services)
- Morton Plant Mease Health Services Inc (Boi Bardmoor)
- Jeffrey Marc Moscow, D.C.
- Bertishia Lashanti Mosley, CNA
- Philip Mosso, PEER SPECIALIST
- Motion Medical Group, LLC
- Jordan Amber Mott, OTR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.