Active NPI
Luna Healthcare Partners LLC
- Family Medicine Physician
- Tampa, FL
National Provider Identifier
1790490480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Theophilus Sai
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Internal Medicine Physician
- Tampa, FL
- NPI 1407874357
-
- Internal Medicine Physician
- Tampa, FL
- NPI 1770579567
-
- Primary Care Nurse Practitioner
- Tampa, FL
- NPI 1093309510
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.