Active NPI
P3 Health Partners-Florida LLC
- Family Medicine Physician
- St Petersburg, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- P3 HEALTH PARTNERS-FLORIDA LLC
- Practice address
- 5425 Park St N Ste 7W
St Petersburg, FL 33709-7042 - Phone
- (727) 202-8140
- Fax
- (727) 202-8252
- NPI assigned
- Nov 11, 2019
- 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
- Amir Bacchus, MD
- Title
- Cmo
- Phone
- (702) 910-3950
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Internal Medicine Physician | 207R00000X | |||
| General Practice Physician | 208D00000X | |||
| Medical Physician Assistant | 363AM0700X | |||
| Nurse Practitioner | 363L00000X |
Addresses
Primary practice location
5425 Park St N Ste 7W
St Petersburg, FL 33709-7042
Mailing address
2370 Corporate Cir Ste 300
Henderson, NV 89074-7760
Phone (702) 910-3950
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2190488 | P3 Health Partners-Florida LLC | Certificate of waiver | Aug 13, 2026 |
National Provider Directory
National Provider DirectoryLocations
13501 Icot Blvd
Ste 114
Clearwater, FL 33760
Phone (727) 754-7880
13501 Icot Blvd
Ste 112
Clearwater, FL 33760
2202 N West Shore Blvd
Ste 251
Tampa, FL 33607
Phone (702) 910-3950
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Clearwater, FL
- NPI 1033240510
-
- Nurse Practitioner
- St Petersburg, FL
- NPI 1063146082
-
- Internal Medicine Physician
- St Petersburg, FL
- NPI 1013062835
-
- Family Medicine Physician
- Port Charlotte, FL
- NPI 1497875868
-
- Family Medicine Physician
- Brandon, FL
- NPI 1649836560
-
- Internal Medicine Physician
- Henderson, NV
- NPI 1033182522
-
- Family Medicine Physician
- Sheffield Village, OH
- NPI 1639308992
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573430400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1600732800000",
"number": "1922643261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2370 CORPORATE CIR STE 300",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890747760",
"telephone_number": "702-910-3950",
"fax_number": "702-778-2264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5425 PARK ST N STE 7W",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337097042",
"telephone_number": "727-202-8140",
"fax_number": "727-202-8252"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "P3 HEALTH PARTNERS-FLORIDA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-11-11",
"last_updated": "2020-09-22",
"certification_date": "2020-09-22",
"status": "A",
"authorized_official_last_name": "BACCHUS",
"authorized_official_first_name": "AMIR",
"authorized_official_title_or_position": "CMO",
"authorized_official_telephone_number": "702-910-3950",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.