NPIMap

Organization Active NPI

Avid Health Plans LLC

Doing business as Avid Health Plans

  • Health Maintenance Organization
  • Tampa, FL
National Provider Identifier
1629397773
Registry record updated Jun 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
AVID HEALTH PLANS LLC
Doing business as
Avid Health Plans
Practice address
10549 N Florida Ave Ste L
Tampa, FL 33612-6707
Phone
(813) 341-4001
Fax
(813) 341-4004
NPI assigned
May 27, 2010
Last updated
Jun 28, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2020

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

Authorized official

Name
Stephen O Banjoko
Title
Cfo
Phone
(212) 257-0225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X NU Primary

Addresses

Primary practice location

10549 N Florida Ave Ste L
Tampa, FL 33612-6707

Mailing address

PO Box 17175
Tampa, FL 33682-7175
Phone (813) 341-4001

Other practice location 1

10549 N Florida Ave Ste J
Tampa, FL 33612-6707
Phone (813) 341-4000

Other names 1

  • AVID HEALTH PLANS Doing business as

National Provider Directory

National Provider Directory

Locations

10549 N Florida Ave
Ste L
Tampa, FL 33612
Phone (813) 341-4001

10915 N Dale Mabry Hwy
Tampa, FL 33618
Phone (813) 341-4000

4002 W Kennedy Blvd
Tampa, FL 33609
Phone (813) 341-4000

8900 N Armenia Ave
Ste 222
Tampa, FL 33604
Phone (813) 341-4000

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1274918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593302400000",
    "number": "1629397773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17175",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336827175",
            "telephone_number": "813-341-4001",
            "fax_number": "813-341-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10549 N FLORIDA AVE STE L",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336126707",
            "telephone_number": "813-341-4001",
            "fax_number": "813-341-4004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10549 N Florida Ave Ste J",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336126707",
            "country_code": "US",
            "telephone_number": "813-341-4000",
            "fax_number": "814-341-4004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AVID HEALTH PLANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-27",
        "last_updated": "2020-06-28",
        "certification_date": "2020-06-28",
        "status": "A",
        "authorized_official_last_name": "BANJOKO",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "212-257-0225"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AVID HEALTH PLANS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2020; 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.