Individual provider Active NPI

Duellyn Z. Pandis, DNP, APRN, FNP-C

  • Public Health & General Preventive Medicine Physician
  • Tampa, FL
National Provider Identifier
1922254747
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
License
ARNP2855132 Issued in FL
Practice address
4204 W Linebaugh Ave
Tampa, FL 33624-5241
Phone
(813) 969-3757
NPI assigned
Aug 12, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN2855132 FL
Occupational Health Registered Nurse 163WX0106X RN2855132 FL
Nurse Practitioner 363L00000X 2855132 FL
Public Health & General Preventive Medicine Physician 2083P0901X ARNP2855132 FL Primary

Addresses

Primary practice location

4204 W Linebaugh Ave
Tampa, FL 33624-5241

Mailing address

4204 W Linebaugh Ave
Tampa, FL 33624-5241
Phone (813) 969-3757

Other identifiers 1

IdentifierTypeStateIssuer
00000000OtherOTHER

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jul 1, 2023 through Jul 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN2855132FLMDOccupational Health Registered Nurse
ARNP2855132FLMDPublic Health & General Preventive Medicine Physician
2855132FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Azimuth Health, LLC Current Accepting new patients
Passport Health of Tampa Bay Current Accepting new patients
Passport Health of Tampa Bay Current Accepting new patients

Locations

4204 W Linebaugh Ave
Tampa, FL 33624
Phone (813) 940-8855

4290 W Linebaugh Ave
Ste B
Tampa, FL 33624
Phone (813) 872-8141

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1922254747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4204 W LINEBAUGH AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336245241",
            "telephone_number": "813-969-3757",
            "fax_number": "813-969-3052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4204 W LINEBAUGH AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336245241",
            "telephone_number": "813-969-3757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANDIS",
        "first_name": "DUELLYN",
        "middle_name": "Z.",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-12",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN2855132",
            "primary": false
        },
        {
            "code": "163WX0106X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Occupational Health",
            "state": "FL",
            "license": "RN2855132",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "2855132",
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "FL",
            "license": "ARNP2855132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER",
            "identifier": "00000000",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "other",
            "affiliation": "N",
            "address_1": "4204 W Linebaugh Ave",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336245241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.