Individual provider Active NPI

Luciana Tann, P.A.

  • Medical Physician Assistant
  • Tampa, FL
National Provider Identifier
1801030739
Registry record updated Nov 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9104829 Issued in FL
Practice address
13610 Bruce B Downs Blvd
Tampa, FL 33613-4650
Phone
(813) 977-2777
NPI assigned
Apr 22, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9104829 FL Primary

Addresses

Primary practice location

13610 Bruce B Downs Blvd
Tampa, FL 33613-4650

Mailing address

5100 Burchette Rd
Unit 705
Tampa, FL 33647-1504
Phone (954) 804-1140

Other identifiers 1

IdentifierTypeStateIssuer
001182400MedicaidFL

Other names 1

  • Luciana Rozas Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090902000303 FL Practitioner - Physician Assistant 0042365777 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primehealth Urgent Care LLCGroup PAC ID 6002240967, 18 clinicians

Practice addresses (Care Compare)

5781 Lee Blvd
Lehigh Acres, FL 33971-6337
Phone (239) 230-0185

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dwic of Tampa Bay, Inc CurrentSince Nov 1, 2012 Accepting new patients
Medexpress Urgent Care of Boynton Beach, LLC CurrentSince May 27, 2018 Accepting new patients
Primehealth Urgent Care LLC CurrentSince Mar 24, 2024 Accepting new patients
Dwic of Tampa Bay, Inc. CurrentSince Nov 1, 2012 Accepting new patients
Primehealth Urgent Care LLC Past Accepting new patients

Locations

7593 Boynton Beach Blvd
Ste 190
Boynton Beach, FL 33437
Phone (561) 572-3200

4647 Manatee Ave W
Bradenton, FL 34209
Phone (941) 745-5999

3018 53rd Ave E
Bradenton, FL 34203
Phone (941) 260-2326

4015 US Highway 301 N
Ellenton, FL 34222
Phone (941) 269-2813

20321 Grande Oak Shoppes Blvd
Ste 308
Estero, FL 33928
Phone (239) 758-0914

8849 State Road 52
Hudson, FL 34667
Phone (727) 863-7150

1120 Homestead Rd N
Lehigh Acres, FL 33936
Phone (239) 303-5020

5781 Lee Blvd
Lehigh Acres, FL 33971
Phone (239) 226-9707

5660 Fishhawk Crossing Blvd
Lithia, FL 33547
Phone (813) 328-6262

23951 Peachland Blvd
Ste 1
Port Charlotte, FL 33954
Phone (941) 260-2326

5221 Clark Rd
Sarasota, FL 34233
Phone (941) 845-4621

2810 W Mlk Blvd
Tampa, FL 33607
Phone (813) 289-6637

13610 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 977-2777

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1240358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353456000000",
    "number": "1801030739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 BURCHETTE RD",
            "address_2": "UNIT 705",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336471504",
            "telephone_number": "954-804-1140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13610 BRUCE B DOWNS BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336134650",
            "telephone_number": "813-977-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANN",
        "first_name": "LUCIANA",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-22",
        "last_updated": "2012-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9104829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001182400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUCIANA",
            "last_name": "ROZAS",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.