Organization Active NPI

Kevin J Makati MD PL

  • Cardiovascular Disease Physician
  • Lutz, FL
National Provider Identifier
1922332212
Registry record updated Mar 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME101255 Issued in FL
Legal business name
KEVIN J MAKATI MD PL
Practice address
4211 Van Dyke Rd
Second Floor East, Suite 205
Lutz, FL 33558-8002
Phone
(813) 418-0100
Fax
(813) 902-6950
NPI assigned
Sep 21, 2009
Last updated
Mar 3, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2010

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

Authorized official

Name
Dr. Kevin J Makati, MD
Title
Managing Member
Phone
(813) 418-0100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME101255 FL Primary

Addresses

Primary practice location

4211 Van Dyke Rd
Second Floor East, Suite 205
Lutz, FL 33558-8002

Mailing address

PO Box 18036
Tampa, FL 33679-8036
Phone (813) 418-0100

National Provider Directory

National Provider Directory

Locations

4211 Van Dyke Rd
Fl Second
Lutz, FL 33558
Phone (813) 418-0100

4211 Van Dyke Rd
Ste 205
Lutz, FL 33558
Phone (813) 229-9292

2605 W Swann Ave
Tampa, FL 33609
Phone (813) 326-4913

NPI Registry JSON

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

{
    "created_epoch": "1253491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267574400000",
    "number": "1922332212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18036",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336798036",
            "telephone_number": "813-418-0100",
            "fax_number": "813-902-6950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4211 VAN DYKE RD",
            "address_2": "SECOND FLOOR EAST, SUITE 205",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335588002",
            "telephone_number": "813-418-0100",
            "fax_number": "813-902-6950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN J MAKATI MD PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-21",
        "last_updated": "2010-03-03",
        "status": "A",
        "authorized_official_last_name": "MAKATI",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "813-418-0100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME101255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutz, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2010; 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.