Tampa Bay Med, Inc.

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

ME106734 Issued in FL

Legal business name

TAMPA BAY MED, INC.

Practice address

7500 4TH St N
St Petersburg, FL 33702-5400

Phone

(727) 798-0599

Fax

(727) 525-1835

NPI assigned

Dec 3, 2015

Organization subpart

No

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

Authorized official

Name

Nicole Sisko

Title

Credentialing Specialist

Phone

(727) 483-7463

Specialties & licenses 1

Addresses

Tax ID family

Tampa Bay Med2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Tampa Bay Med Inc

  • Internal Medicine Physician
  • St Petersburg, FL
  • NPI 1538578729
  NPD tax ID

Practitioners 1

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

• Benjamin John Abinales, MD

  • Internal Medicine Physician
  • St Petersburg, FL
  • NPI 1144458977
  NPD

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

{
    "created_epoch": "1449100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449100800000",
    "number": "1679948541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 PARK PLACE BLVD",
            "address_2": "5TH FLOOR",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337594904",
            "telephone_number": "727-483-7463",
            "fax_number": "727-755-0679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 4TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337025400",
            "telephone_number": "727-798-0599",
            "fax_number": "727-525-1835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMPA BAY MED, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-03",
        "last_updated": "2015-12-03",
        "status": "A",
        "authorized_official_last_name": "SISKO",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "727-483-7463"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "FL",
            "license": "ME106734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tampa Bay Diabetes, Thyroid, & Endocrinology Center, PA
• Tampa Bay Eye Surgery Center, LLC
• Tampa Bay Hospitalists LLC
• Tampa Bay Maxillofacial Surgery, PLLC
• Tampa Bay Med Inc
• Tampa Bay Neurosurgical Associates LLC
• Tampa Bay Optometric Group PA
• Tampa Bay Optometric Group PA
• Tampa Bay Optometric Group PA
• Tampa Bay Telehealth LLC

• Non-Pharmacy Dispensing Site in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Non-Pharmacy Dispensing Site in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2015; 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.