Active NPI
Kevin J Makati MD PL
- Cardiovascular Disease Physician
- Lutz, FL
National Provider Identifier
1922332212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- ME101255
- 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, 2010
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.