NPIMap

Organization Active NPI

Freedom Ancillary Health

  • Preferred Provider Organization
  • Tampa, FL
National Provider Identifier
1841751161
Registry record updated Mar 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
Legal business name
FREEDOM ANCILLARY HEALTH
Practice address
15310 Amberly Dr Ste 250
Tampa, FL 33647-1642
Phone
(407) 988-7363
Fax
(407) 624-4077
NPI assigned
Mar 28, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2019

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

Authorized official

Name
Mr. Alok Trivedi, OWNER
Title
Ceo
Phone
(407) 404-2342

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X Primary

Addresses

Primary practice location

15310 Amberly Dr Ste 250
Tampa, FL 33647-1642

Mailing address

15310 Amberly Dr Ste 250
Tampa, FL 33647-1642
Phone (407) 988-7363

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1553731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553731200000",
    "number": "1841751161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15310 AMBERLY DR STE 250",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336471642",
            "telephone_number": "407-988-7363",
            "fax_number": "407-624-4077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15310 AMBERLY DR STE 250",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336471642",
            "telephone_number": "407-988-7363",
            "fax_number": "407-624-4077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM ANCILLARY HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-28",
        "last_updated": "2019-03-28",
        "status": "A",
        "authorized_official_last_name": "TRIVEDI",
        "authorized_official_first_name": "ALOK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-404-2342",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "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 Mar 28, 2019; 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.