Organization Active NPI

Neuromuscular Medical Centers of Florida, P.a.

  • Rehabilitation Clinic/Center
  • Tampa, FL
National Provider Identifier
1750615530
Registry record updated Dec 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
ME0056868 Issued in FL
Legal business name
NEUROMUSCULAR MEDICAL CENTERS OF FLORIDA, P.A.
Practice address
701 W Fletcher Ave Ste B
Tampa, FL 33612-3430
Phone
(813) 417-7447
Fax
(866) 224-2885
NPI assigned
Sep 25, 2009
Last updated
Dec 20, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2010

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

Authorized official

Name
Dr. Santo Steven Bifulco, M.D.NPI 1629294244
Title
Medical Director/Owner
Phone
(813) 417-7447

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X ME0056868 FL Primary

Addresses

Primary practice location

701 W Fletcher Ave Ste B
Tampa, FL 33612-3430

Mailing address

700 S Harbour Island Blvd
Unit #339
Tampa, FL 33602-5712
Phone (813) 417-7447

Other names 1

  • Neuromuscular Medical Centers of Florida Former legal business name

National Provider Directory

National Provider Directory

Locations

701 W Fletcher Ave
Ste B
Tampa, FL 33612
Phone (813) 417-7447

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1253836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292803200000",
    "number": "1750615530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 S HARBOUR ISLAND BLVD",
            "address_2": "UNIT #339",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336025712",
            "telephone_number": "813-417-7447",
            "fax_number": "866-224-2885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 W FLETCHER AVE STE B",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336123430",
            "telephone_number": "813-417-7447",
            "fax_number": "866-224-2885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROMUSCULAR MEDICAL CENTERS OF FLORIDA, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-25",
        "last_updated": "2010-12-20",
        "status": "A",
        "authorized_official_last_name": "BIFULCO",
        "authorized_official_first_name": "SANTO",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/OWNER",
        "authorized_official_telephone_number": "813-417-7447",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "FL",
            "license": "ME0056868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neuromuscular Medical Centers of Florida",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.