Michael Sore, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

ME85141 Issued in FL

Practice address

4004 N Riverside Dr
Tampa, FL 33603-3212

Phone

(813) 296-8300

Fax

(813) 441-7669

NPI assigned

Dec 23, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Emergency Medicine Services of FL, LLC

  • Emergency Medicine Physician
  • Aventura, FL
  • NPI 1043917180
  Medicare reassignment NPD
• Shi Keys LLC

  • Emergency Medicine Physician
  • Tavernier, FL
  • NPI 1952903536
  Medicare reassignment NPD
• Riverside Recovery of Tampa, LLC

  • Substance Abuse Rehabilitation Facility
  • Tampa, FL
  • NPI 1619415197
  NPD (past)
• Emergency Medical Associates LLP

  • Emergency Medicine Physician
  • Waukesha, WI
  • NPI 1861483190
  NPD (past)
• Lake Country Emergency Physicians

  • Emergency Medicine Physician
  • Oconomowoc, WI
  • NPI 1720060585
  NPD (past)

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

{
    "created_epoch": "1135296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1902883671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8405",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336748405",
            "telephone_number": "813-220-7594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4004 N RIVERSIDE DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336033212",
            "telephone_number": "813-296-8300",
            "fax_number": "813-441-7669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORE",
        "first_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-23",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME85141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34204200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sophos Investments LLC
• Sophros Recovery Tampa LLC
• Sopure Pharmacy LLC
• Michael Rolf Sordan
• Gema Barbara Sordo Suarez
• Jacqueline Ann Sorensen
• Kanada Sorensen
• Parker Sorey
• Marina Sorial
• Daliana Soriano Mustelier

• Emergency Medicine Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Emergency Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.