Mak Medical LLC

Primary specialty

ContractorTaxonomy code 171W00000X

Legal business name

MAK MEDICAL LLC

Practice address

6421 N Florida Ave Ste D-1362
Tampa, FL 33604-6007

Phone

(727) 459-1479

NPI assigned

Jun 10, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Mitchell Pantelides

Title

Member

Phone

(727) 459-1479

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1717977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717977600000",
    "number": "1699517862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6421 N FLORIDA AVE STE D-1362",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336046007",
            "telephone_number": "727-459-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6421 N FLORIDA AVE STE D-1362",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336046007",
            "telephone_number": "727-459-1479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAK MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-10",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-03",
        "status": "A",
        "authorized_official_last_name": "PANTELIDES",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "727-459-1479",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shazia Majid, MD
• Felicia Majkich
• Major Impact Support Services, Inc
• Jessica Hannah Major, PA
• Regina R Major, ARNP
• Sheila Shuk-Yin Mak, D.O.
• Rikesh Makanji, M.D.
• Alena Igorevna Makarova
• Ravie Makati, O.D.
• Making Memories Home Health Inc

• Contractor in Tampa, FL
• Providers in Tampa, FL by specialty
• Contractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; 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.