Philotemo Health and Wellness

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

PHILOTEMO HEALTH AND WELLNESS

Practice address

4010 W State St
Tampa, FL 33609-1264

Phone

(813) 758-0305

NPI assigned

Jul 25, 2023

Last updated

Jul 25, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Edith L Kavouklis, AENPNPI 1700399433

Title

Owner/MGR

Phone

(813) 758-0305

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

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.

• Edith Lorraine Kavouklis, RN, APRN

  • Nurse Practitioner
  • Tampa, FL
  • NPI 1700399433
  NPD Authorized official

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

{
    "created_epoch": "1690243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690243200000",
    "number": "1639850563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 W STATE ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336091264",
            "telephone_number": "813-758-0305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 W STATE ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336091264",
            "telephone_number": "813-758-0305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILOTEMO HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-25",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A",
        "authorized_official_last_name": "KAVOUKLIS",
        "authorized_official_first_name": "EDITH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/MGR",
        "authorized_official_telephone_number": "813-758-0305",
        "authorized_official_credential": "AENP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean A Phillips, MD
• Susan K Phillips, LMHC
• Susan Patricia Phillips, PH.D.
• Whitney Phillips, MS CCC-SLP
• Diana Alexandra Phillpotts, LCSW
• Matthew Alexander Philp, CCP, BS,
• Gale Marie Philson
• Jason Jevante Philson, DHA
• Ayesha Philyaw, PHARM.D.
• Timothy Phippins

• Primary Care Clinic/Center in Tampa, FL
• Providers in Tampa, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.