Tampa Bay Ipa, Inc

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

TAMPA BAY IPA, INC

Practice address

1508 Seagull Dr
Unit 104
Palm Harbor, FL 34685-2450

Phone

(727) 512-2699

Fax

(888) 983-6442

NPI assigned

Apr 10, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Warren S Fishman

Title

President

Phone

(727) 512-2699

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1365552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365552000000",
    "number": "1740623651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 SEAGULL DR",
            "address_2": "UNIT 104",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346852450",
            "telephone_number": "727-512-2699",
            "fax_number": "888-983-6442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 SEAGULL DR",
            "address_2": "UNIT 104",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346852450",
            "telephone_number": "727-512-2699",
            "fax_number": "888-983-6442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMPA BAY IPA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-10",
        "last_updated": "2013-04-10",
        "status": "A",
        "authorized_official_last_name": "FISHMAN",
        "authorized_official_first_name": "WARREN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-512-2699",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Palm Harbor, FL
• Providers in Palm Harbor, FL by specialty
• Case Management Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2013; 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.