Active NPI
Duellyn Z. Pandis, DNP, APRN, FNP-C
- Public Health & General Preventive Medicine Physician
- Tampa, FL
National Provider Identifier
1922254747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health & General Preventive Medicine Physician
- License
- ARNP2855132
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00000000 | Other | OTHER |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| RN2855132 | FL | MD | Occupational Health Registered Nurse |
| ARNP2855132 | FL | MD | Public Health & General Preventive Medicine Physician |
| 2855132 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Primary Care Clinic/Center
- Tampa, FL
- NPI 1306450085
-
- Health Service Clinic/Center
- Tampa, FL
- NPI 1699968909
-
- Health Service Clinic/Center
- Tampa, FL
- NPI 1932356052
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.