Organization Active NPI

Luna Healthcare Partners LLC

  • Family Medicine Physician
  • Tampa, FL
National Provider Identifier
1790490480
Registry record updated Jan 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LUNA HEALTHCARE PARTNERS LLC
Practice address
14831 N Florida Ave
Tampa, FL 33613-1825
Phone
(813) 330-2737
NPI assigned
Jan 18, 2023
Last updated
Jan 18, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2023

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

Authorized official

Name
Theophilus SaiNPI 1407874357
Title
Member
Phone
(813) 600-9981

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
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

14831 N Florida Ave
Tampa, FL 33613-1825

Mailing address

3218 W Horatio St
Tampa, FL 33609-3028

National Provider Directory

National Provider Directory

Locations

14831 N Florida Ave
Tampa, FL 33613
Phone (813) 330-2737

Practitioners & affiliated clinicians

Practitioners 3

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": "1674000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674000000000",
    "number": "1790490480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3218 W HORATIO ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336093028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14831 N FLORIDA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336131825",
            "telephone_number": "813-330-2737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUNA HEALTHCARE PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-18",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A",
        "authorized_official_last_name": "SAI",
        "authorized_official_first_name": "THEOPHILUS",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "813-600-9981"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 18, 2023; 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.