Preferred Physicians Group

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS1653 Issued in FL

Legal business name

PREFERRED PHYSICIANS GROUP

Practice address

2802 W Waters Ave
Tampa, FL 33614-1853

Phone

(813) 868-4357

Fax

(813) 319-0181

NPI assigned

Aug 26, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Edward Reyes

Title

President

Phone

(813) 868-4357

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1219708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225929600000",
    "number": "1952558520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2802 W WATERS AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336141853",
            "telephone_number": "813-868-4357",
            "fax_number": "813-319-0181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2802 W WATERS AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336141853",
            "telephone_number": "813-868-4357",
            "fax_number": "813-319-0181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED PHYSICIANS GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-26",
        "last_updated": "2008-11-06",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-868-4357",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS1653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2008; 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.