NPIMap

Organization Active NPI

Family Medical Centers of Tampa Bay PA

  • Family Medicine Physician
  • Tampa, FL
National Provider Identifier
1922046846
Registry record updated Jun 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0046451 Issued in FL
Legal business name
FAMILY MEDICAL CENTERS OF TAMPA BAY PA
Practice address
15511 N Florida Ave
Suite 401
Tampa, FL 33613-1220
Phone
(813) 963-3124
Fax
(813) 269-7945
NPI assigned
Jun 3, 2006
Last updated
Jun 1, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2011

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

Authorized official

Name
Dr. Alan J Iezzi, M.D.NPI 1952590028
Title
President
Phone
(813) 963-3124

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
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 0046451 FL Primary

Addresses

Primary practice location

15511 N Florida Ave
Suite 401
Tampa, FL 33613-1220

Mailing address

15511 N Florida Ave
Suite D
Tampa, FL 33613-1263
Phone (813) 963-3124

National Provider Directory

National Provider Directory

Locations

15511 N Florida Ave
#411
Tampa, FL 33613
Phone (813) 963-3124

15511 N Florida Ave
#D
Tampa, FL 33613

15511 N Florida Ave
Ste A
Tampa, FL 33613
Phone (813) 265-1717

Practitioners & affiliated clinicians

Practitioners 11

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": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306886400000",
    "number": "1922046846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15511 N FLORIDA AVE",
            "address_2": "SUITE D",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336131263",
            "telephone_number": "813-963-3124",
            "fax_number": "813-269-7945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15511 N FLORIDA AVE",
            "address_2": "SUITE 401",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336131220",
            "telephone_number": "813-963-3124",
            "fax_number": "813-269-7945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICAL CENTERS OF TAMPA BAY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2011-06-01",
        "status": "A",
        "authorized_official_last_name": "IEZZI",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-963-3124",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "0046451",
            "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 Jun 1, 2011; 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.