Premier Internal Medicine of Tampa LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PREMIER INTERNAL MEDICINE OF TAMPA LLC

Practice address

4913 Van Dyke Rd
Lutz, FL 33558-4813

Phone

(813) 930-7877

NPI assigned

Jun 13, 2018

Organization subpart

No

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

Authorized official

Name

Janusz Madej, MD

Title

Owner

Phone

(813) 930-7877

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Cindy Carol Bailey, LMHC, NCC, NBCCH

  • Counselor
  • Lutz, FL
  • NPI 1811954670
  NPD (past)
• Jeanne Robinson, LCSW

  • Clinical Social Worker
  • Lutz, FL
  • NPI 1568355642
  NPD (past)
• Molly Sanford, LCSW

  • Clinical Social Worker
  • Tampa, FL
  • NPI 1245357029
  NPD (past)

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

{
    "created_epoch": "1528848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528848000000",
    "number": "1619460730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4913 VAN DYKE RD",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335584813",
            "telephone_number": "813-930-7877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4913 VAN DYKE RD",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335584813",
            "telephone_number": "813-930-7877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER INTERNAL MEDICINE OF TAMPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-13",
        "last_updated": "2018-06-13",
        "status": "A",
        "authorized_official_last_name": "MADEJ",
        "authorized_official_first_name": "JANUSZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-930-7877",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley N Powell
• Joyce Ann Prahasky, MASSAGE THERAPIST
• Marilyn Prcic, BCBA
• Precision Health Team PLLC
• Precision Medical Imaging and Therapeutic Institute LLC
• Sarah Price
• Florentino Andew Priede, D.D.S.
• Jessica Munoz Prieto, RBT
• Jeanette Provenza I
• Pruitthealth - North Tampa, LLC

• Internal Medicine Physician in Lutz, FL
• Providers in Lutz, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.