Organization Active NPI

Florida Ipa, Inc.

  • Health Maintenance Organization
  • Tarpon Springs, FL
National Provider Identifier
1730496332
Registry record updated Sep 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
FLORIDA IPA, INC.
Practice address
1200 S Pinellas Ave
Suite 11
Tarpon Springs, FL 34689-3728
Phone
(727) 942-8900
NPI assigned
Sep 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2010

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

Authorized official

Name
Dr. Nicolas Pavouris, M.D.
Title
President
Phone
(727) 942-8900

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X
Case Management Agency 251B00000X
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

1200 S Pinellas Ave
Suite 11
Tarpon Springs, FL 34689-3728

Mailing address

1200 S Pinellas Ave
Suite 11
Tarpon Springs, FL 34689-3728
Phone (727) 942-8900

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1283472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283472000000",
    "number": "1730496332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 S PINELLAS AVE",
            "address_2": "SUITE 11",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346893728",
            "telephone_number": "727-942-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S PINELLAS AVE",
            "address_2": "SUITE 11",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346893728",
            "telephone_number": "727-942-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA IPA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-03",
        "last_updated": "2010-09-03",
        "status": "A",
        "authorized_official_last_name": "PAVOURIS",
        "authorized_official_first_name": "NICOLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-942-8900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarpon Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2010; 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.