Tiffany Square Family Practice P a

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

TIFFANY SQUARE FAMILY PRACTICE P A

Practice address

2828 S McCall Rd
Ste 21
Englewood, FL 34224

Phone

(941) 474-8154

Fax

(941) 473-3583

NPI assigned

May 22, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Stephen Philip Nimbargi, MD

Title

President

Phone

(941) 474-8154

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210809600000",
    "number": "1699729616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2828 S MCCALL RD",
            "address_2": "STE 21",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "34224",
            "telephone_number": "941-474-8154",
            "fax_number": "941-473-3583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 S MCCALL RD",
            "address_2": "STE 21",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "34224",
            "telephone_number": "941-474-8154",
            "fax_number": "941-473-3583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIFFANY SQUARE FAMILY PRACTICE P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2008-05-15",
        "status": "A",
        "authorized_official_last_name": "NIMBARGI",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "PHILIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-474-8154",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Englewood, FL
• Providers in Englewood, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; 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.