Daley and Associates Primemed of Tampa Bay LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME92581 Issued in FL

Legal business name

DALEY AND ASSOCIATES PRIMEMED OF TAMPA BAY LLC

Practice address

300 Riverside Dr E
Ste 2600
Bradenton, FL 34208-1008

Phone

(941) 251-4933

Fax

(941) 251-4934

NPI assigned

Jul 17, 2013

Organization subpart

No

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

Authorized official

Name

Josie A. Walters

Title

MPM Specialist

Phone

(302) 233-2532

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrew Cornel Daley, M.D.

  • Internal Medicine Physician
  • Tampa, FL
  • NPI 1285644054
  Medicare reassignment NPD

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

{
    "created_epoch": "1374019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374019200000",
    "number": "1962843029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 RIVERSIDE DR E",
            "address_2": "STE 2600",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081008",
            "telephone_number": "941-251-4933",
            "fax_number": "941-251-4934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 RIVERSIDE DR E",
            "address_2": "STE 2600",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081008",
            "telephone_number": "941-251-4933",
            "fax_number": "941-251-4934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALEY AND ASSOCIATES PRIMEMED OF TAMPA BAY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-17",
        "last_updated": "2013-07-17",
        "status": "A",
        "authorized_official_last_name": "WALTERS",
        "authorized_official_first_name": "JOSIE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "MPM SPECIALIST",
        "authorized_official_telephone_number": "302-233-2532"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME92581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "273870800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Shea Daignault, LMT
• Kaitlyn Dailey
• Tess Kates Dailey, APRN
• Juliana Dale
• Michael John Dale, PA-C
• Janet Lea Dallman, CPH
• Edgar R Dalton, DDS
• Emily Jane Daly, RCSWI
• Lihini Imala Dalzell, DO
• Michael J Damato Jr., APRN,FNP-C,PMHNP-BC

• Internal Medicine Physician in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.