Organization Active NPI

Richard J Eatroff M.D, P.a.

  • Specialist
  • Brandon, FL
National Provider Identifier
1902038755
Registry record updated Aug 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME0032553 Issued in FL
Legal business name
RICHARD J EATROFF M.D, P.A.
Practice address
510 Vonderburg Dr
Suite 306
Brandon, FL 33511-5980
Phone
(813) 685-5000
NPI assigned
Aug 12, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2009

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

Authorized official

Name
Mr. Richard J Eatroff, M.D.NPI 1710956206
Title
President
Phone
(813) 685-5000

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME0032553 FL Primary

Addresses

Primary practice location

510 Vonderburg Dr
Suite 306
Brandon, FL 33511-5980

Mailing address

510 Vonderburg Dr
Suite 306
Brandon, FL 33511-5980
Phone (813) 685-5000

National Provider Directory

National Provider Directory

Locations

510 Vonderburg Dr
Ste 306
Brandon, FL 33511
Phone (813) 685-5000

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1250035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250035200000",
    "number": "1902038755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 VONDERBURG DR",
            "address_2": "SUITE 306",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115980",
            "telephone_number": "813-685-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 VONDERBURG DR",
            "address_2": "SUITE 306",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115980",
            "telephone_number": "813-685-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD J EATROFF M.D, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-12",
        "last_updated": "2009-08-12",
        "status": "A",
        "authorized_official_last_name": "EATROFF",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-685-5000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0032553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2009; 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.