Carla Lisbeth Migliaccio Simoes, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN23673 Issued in FL

Practice address

302 W Fletcher Ave
Tampa, FL 33612-3415

Phone

(813) 866-0930

Fax

(813) 405-3722

NPI assigned

Mar 25, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tampa Family Health Centers Inc

  • Multi-Specialty Clinic/Center
  • Tampa, FL
  • NPI 1356347413
  Medicare reassignment NPD
• Tampa Family Health Centers, Inc

  • Federally Qualified Health Center (FQHC)
  • Tampa, FL
  • NPI 1164754701
  NPD
• Tampa Family Health Centers, Inc

  • General Practice Physician
  • Tampa, FL
  • NPI 1831769579
  NPD

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

{
    "created_epoch": "1553472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1700347671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 82969",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336822969",
            "telephone_number": "813-866-0930",
            "fax_number": "813-405-3722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 W FLETCHER AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336123415",
            "telephone_number": "813-866-0930",
            "fax_number": "813-405-3722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIGLIACCIO SIMOES",
        "first_name": "CARLA",
        "middle_name": "LISBETH",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-25",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN23673",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1700347671",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.tampafamilyhc.org",
            "affiliation": "N",
            "address_1": "302 W Fletcher Ave",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336123415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Midtown Tampa ASC, LLC
• Brett Mielnick, PTA
• Aline Mierzejewski, ARNP
• Matthew J Mifsud, MD
• Migdalia'S Aclf
• Jolie Migliara, P.C.P.
• Heidi Migliore, ARNP
• Michelle Migliore, ARNP
• Joseph Andrew Migliozzi, MD
• Miguel a. Lopez Jr., D.M.D., P.a.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.