Florida Family Practice & Urgent Care, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FLORIDA FAMILY PRACTICE & URGENT CARE, LLC

Practice address

3450 E Fletcher Ave Ste 100
Tampa, FL 33613-4603

Phone

(813) 812-4133

Fax

(813) 501-3633

NPI assigned

Sep 8, 2016

Last updated

Mar 11, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ronald Salazar Manalo, M.D.NPI 1992065049

Title

President

Phone

(615) 838-5198

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ronald Salazar Manalo, MD

  • Family Medicine Physician
  • Tampa, FL
  • NPI 1992065049
  Authorized official Same address or phone
• Gayatri Pandey

  • Family Nurse Practitioner
  • Tampa, FL
  • NPI 1891474482
  NPD
• Gisselle Rodriguez, FNP-C

  • Nurse Practitioner
  • Largo, FL
  • NPI 1518713106
  NPD
• Avianne Bunnell, MD

  • Vascular Surgery Physician
  • St Petersburg, FL
  • NPI 1285066019
  NPD (past)
• Jeffrey Bernard Starling, M.D.

  • Urology Physician
  • Tampa, FL
  • NPI 1104844307
  NPD (past)

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

{
    "created_epoch": "1473292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552262400000",
    "number": "1710434626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 E FLETCHER AVE STE 100",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336134603",
            "telephone_number": "813-812-4133",
            "fax_number": "813-501-3633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 E FLETCHER AVE STE 100",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336134603",
            "telephone_number": "813-812-4133",
            "fax_number": "813-501-3633"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2412 Cypress Glen Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Wesley Chapel",
            "state": "FL",
            "postal_code": "335444603",
            "country_code": "US",
            "telephone_number": "813-812-4133",
            "fax_number": "813-501-3633",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3450 E Fletcher Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336134603",
            "country_code": "US",
            "telephone_number": "813-812-4133",
            "fax_number": "813-501-3633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FLORIDA FAMILY PRACTICE & URGENT CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-08",
        "last_updated": "2019-03-11",
        "status": "A",
        "authorized_official_last_name": "MANALO",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "SALAZAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-838-5198",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019212900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Florida Diabetes and Endocrine Associates LLC
• Florida Discount Drugs
• Florida Discount RX LLC (Florida Discount Pharmacy)
• Florida Discounts RX 1 Inc (Florida Discount Pharmacy)
• Florida Drug of Tampa Inc (Florida Drug Store)
• Florida Family Primary Care Centers of Tampa, LLC (Clinical Care Medical Centers)
• Florida Family Primary Care Centers of Tampa, LLC (Clinical Care Medical Centers)
• Florida Family Primary Care Centers of Tampa, LLC (Clinical Care Medical Centers)
• Florida Federal Doctors & Dol Services
• Florida Gulf to Bay Anesthesiology Pain LLC (Florida Gulf to Bay Pain Medicine)

• Family Medicine Physician in Tampa, FL
• Providers in Tampa, 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 Mar 11, 2019; 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.