Florida Family Primary Care Centers of Pinellas, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FLORIDA FAMILY PRIMARY CARE CENTERS OF PINELLAS, LLC

Practice address

6245 66TH St N
Pinellas Park, FL 33781-5025

Phone

(727) 873-3891

Fax

(727) 873-3892

NPI assigned

Feb 24, 2014

Organization subpart

No

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

Authorized official

Name

Octavio 'Butch' Bravo

Title

Ceo

Phone

(305) 905-1399

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Aida R Berdasco Paz, MD

  • General Practice Physician
  • Brandon, FL
  • NPI 1801820543
  NPD

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

{
    "created_epoch": "1393200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393286400000",
    "number": "1861817108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6245 66TH ST N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337815025",
            "telephone_number": "727-873-3891",
            "fax_number": "727-873-3892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6245 66TH ST N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337815025",
            "telephone_number": "727-873-3891",
            "fax_number": "727-873-3892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA FAMILY PRIMARY CARE CENTERS OF PINELLAS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-24",
        "last_updated": "2014-02-25",
        "status": "A",
        "authorized_official_last_name": "BRAVO",
        "authorized_official_first_name": "OCTAVIO 'BUTCH'",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-905-1399"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cecelia Fletcher, APRN
• Danny L Fletcher
• Tiffany Fletcher, RBT
• Florida Brace & Limb Inc
• Florida Brace and Limb
• Florida Family Primary Care Centers of Tampa, LLC
• Courtney Flournoy
• Jillian Floyd
• Damon Fluellen, M.S.
• Martha S Folsom, ARNP

• Family Medicine Physician in Pinellas Park, FL
• Providers in Pinellas Park, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2014; 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.