Dynamic Health Care Services,LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

DYNAMIC HEALTH CARE SERVICES,LLC

Practice address

703 Virginia St
Dunedin, FL 34698-6615

Phone

(727) 734-4000

Fax

(727) 724-4110

NPI assigned

Nov 22, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Cindy M Walker

Title

Practice Administrator

Phone

(727) 734-4000

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• DYNAMIC HEALTH CARE SERVICES, PA Former legal business name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marieta Georgieva Fryer, APRN

  • Adult Health Nurse Practitioner
  • St. Petersburg, FL
  • NPI 1235849258
  Medicare reassignment Care Compare group NPD
• Haili Harless, APRN

  • Adult Health Nurse Practitioner
  • Saint Petersburg, FL
  • NPI 1154928612
  Medicare reassignment Care Compare group NPD
• Theron D Hawkins, PAC

  • Medical Physician Assistant
  • Dunedin, FL
  • NPI 1851345201
  Medicare reassignment
• Vincent J Dilella, DO

  • Family Medicine Physician
  • Dunedin, FL
  • NPI 1760471502
  NPD (past)

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

{
    "created_epoch": "1321920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435708800000",
    "number": "1861769671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 VIRGINIA ST",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346986615",
            "telephone_number": "727-734-4000",
            "fax_number": "727-724-4110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 VIRGINIA ST",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346986615",
            "telephone_number": "727-734-4000",
            "fax_number": "727-724-4110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC HEALTH CARE SERVICES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-22",
        "last_updated": "2015-07-01",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "727-734-4000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "002VD",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004449500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DYNAMIC HEALTH CARE SERVICES, PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Dunedin Pediatrics LLC
• Dunedin Surgical Consultants, LLC
• Leonard Jay Dunn, MD
• Rachel A Dunnagan, MD
• Jan A Duvoisin, MD
• Edinborough Square Health Care Associates LLC
• Stephen Eggleston
• Patricia T. Ehring, D.P.M.
• Robert D Elliott, R.PH.
• Jane Elson

• Multi-Specialty Clinic/Center in Dunedin, FL
• Providers in Dunedin, FL by specialty
• Multi-Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.