Active NPI
Mabel Z Echeandia
- Family Medicine Physician
- Tampa, FL
National Provider Identifier
1659779486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME67229
- Legal business name
- MABEL Z ECHEANDIA
- Practice address
- 3333 W Waters Ave
Tampa, FL 33614-2758 - Phone
- (813) 960-6066
- Fax
- (813) 930-2053
- NPI assigned
- Dec 10, 2014
- 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
- Mrs. Sadith Dietz
- Title
- Account Manager
- Phone
- (813) 890-8004
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME67229 | FL | Primary |
Addresses
Primary practice location
3333 W Waters Ave
Tampa, FL 33614-2758
Mailing address
3333 W Waters Ave
Tampa, FL 33614-2758
Phone (813) 930-6066
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 005SJ | Other | FL | FLORIDA BLUE |
Other names 1
- mabel echeandia
National Provider Directory
National Provider DirectoryLocations
3333 W Waters Ave
Tampa, FL 33614
Phone (813) 932-2020
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Dade City, FL
- NPI 1063565471
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418169600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1418169600000",
"number": "1659779486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3333 W WATERS AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336142758",
"telephone_number": "813-930-6066",
"fax_number": "813-930-2053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 W WATERS AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336142758",
"telephone_number": "813-960-6066",
"fax_number": "813-930-2053"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MABEL Z ECHEANDIA",
"organizational_subpart": "NO",
"enumeration_date": "2014-12-10",
"last_updated": "2014-12-10",
"status": "A",
"authorized_official_last_name": "DIETZ",
"authorized_official_first_name": "SADITH",
"authorized_official_title_or_position": "ACCOUNT MANAGER",
"authorized_official_telephone_number": "813-890-8004",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "FL",
"license": "ME67229",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA BLUE",
"identifier": "005SJ",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "mabel echeandia",
"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 Dec 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.