Florida Psychiatric Group LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

ARNP9287498 Issued in FL

Legal business name

FLORIDA PSYCHIATRIC GROUP LLC

Practice address

11002 Ancient Futures Dr
Tampa, FL 33647-3575

Phone

(813) 820-3437

NPI assigned

Sep 25, 2017

Organization subpart

No

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

Authorized official

Name

Shirley J Tabor Bemler, ARNP

Title

Manager

Phone

(813) 339-8106

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1506297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506297600000",
    "number": "1750890455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11002 ANCIENT FUTURES DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473575",
            "telephone_number": "813-339-8106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11002 ANCIENT FUTURES DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473575",
            "telephone_number": "813-820-3437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA PSYCHIATRIC GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-25",
        "last_updated": "2017-09-25",
        "status": "A",
        "authorized_official_last_name": "TABOR BEMLER",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "813-339-8106",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9287498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8107600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Florida Pain Relief Group PLLC
• Florida Pediatric Eye Specialists, Inc
• Florida Post Acute Medical Services 1 PA
• Florida Premier Care PA
• Florida Prime ABA Network Inc
• Florida Psychiatry Group, PLLC
• Florida Psychoeducational Evaluations
• Florida Radiation Oncology PL
• Florida Regional Intensivist Services, LLC
• Florida Rehab Center

• Family Nurse Practitioner in Tampa, FL
• Providers in Tampa, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2017; 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.