Prospero Medical Services, PA

Primary specialty

Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X

Legal business name

PROSPERO MEDICAL SERVICES, PA

Practice address

8875 Hidden River Pkwy Ste 300
Tampa, FL 33637-2087

Phone

(866) 949-0108

NPI assigned

Nov 30, 2021

Organization subpart

No

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

Authorized official

Name

Kimberly Mann

Title

Credentialing Manager

Phone

(901) 422-7608

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1638230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640563200000",
    "number": "1699433417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 S B B KING BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381032626",
            "telephone_number": "866-949-0108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8875 HIDDEN RIVER PKWY STE 300",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336372087",
            "telephone_number": "866-949-0108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPERO MEDICAL SERVICES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-30",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A",
        "authorized_official_last_name": "MANN",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "901-422-7608"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prosmile Unlimited
• Prospect Therapy Group FL LLC
• Jeannine E Prosperi, CRNA
• Prosperity Agency Inc
• Prospero Health Partners Florida, Inc
• Prospero Services, LLC
• Pross Kanter & Tindell
• Ronald M Pross, D.M.D.
• Prosthetic Design & Research LLC
• Prosthetic Research and Design PL

• Hospice and Palliative Medicine (Family Medicine) Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Hospice and Palliative Medicine (Family Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2021; 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.