NPIMap

Organization Active NPI

Amerigroup Florida, Inc.

  • Health Maintenance Organization
  • Tampa, FL
National Provider Identifier
1922081504
Registry record updated Sep 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
03-65-0311864 Issued in FL
Legal business name
AMERIGROUP FLORIDA, INC.
Practice address
4200 W Cypress St
Suite 900
Tampa, FL 33607-4156
Phone
(813) 830-6900
Fax
(757) 222-2377
NPI assigned
Nov 28, 2005
Last updated
Sep 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2008

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

Authorized official

Name
Mr. Donald Van Gilmore
Title
Chief Operating Officer
Phone
(813) 830-6900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 03-65-0311864 FL Primary

Addresses

Primary practice location

4200 W Cypress St
Suite 900
Tampa, FL 33607-4156

Mailing address

4200 W Cypress St
Suite 900
Tampa, FL 33607-4156
Phone (813) 830-6900

National Provider Directory

National Provider Directory

Locations

4200 W Cypress St
Ste 900
Tampa, FL 33607
Phone (813) 506-6000

NPI Registry JSON

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221609600000",
    "number": "1922081504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 W CYPRESS ST",
            "address_2": "SUITE 900",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336074156",
            "telephone_number": "813-830-6900",
            "fax_number": "757-222-2377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 W CYPRESS ST",
            "address_2": "SUITE 900",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336074156",
            "telephone_number": "813-830-6900",
            "fax_number": "757-222-2377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERIGROUP FLORIDA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-28",
        "last_updated": "2008-09-17",
        "status": "A",
        "authorized_official_last_name": "GILMORE",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "VAN",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "813-830-6900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "FL",
            "license": "03-65-0311864",
            "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 Sep 17, 2008; 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.