PP-FL LLC

Primary specialty

Occupational Health Nurse PractitionerTaxonomy code 363LX0106X

Legal business name

PP-FL LLC

Doing business as

Passport Health

Practice address

4204 W Linebaugh Ave
Tampa, FL 33624-5241

Phone

(813) 969-3757

Fax

(813) 969-3052

NPI assigned

Nov 11, 2021

Organization subpart

No

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

Authorized official

Name

Duellyn Pandis, ARNP

Title

Executive Director

Phone

(813) 969-3757

Specialties & licenses 1

Addresses

Other names 1

• Passport Health Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1636588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636588800000",
    "number": "1982360244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4204 W LINEBAUGH AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336245241",
            "telephone_number": "813-969-3757",
            "fax_number": "813-969-3052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4204 W LINEBAUGH AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336245241",
            "telephone_number": "813-969-3757",
            "fax_number": "813-969-3052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PP-FL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-11",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A",
        "authorized_official_last_name": "PANDIS",
        "authorized_official_first_name": "DUELLYN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "813-969-3757",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LX0106X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Occupational Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Passport Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wanda Fanice Powers, PA-C
• Robert Andrew Powless, D.M.D
• Yvette Powrie, PHARMD
• Jacob Wilson Poynter, MD
• Leticia Pozas Jimenez
• PPR&D Biomarkers Inc,
• Sabrina Prabakaran
• Sakthi Samyuktha Prabakaran, BDS
• Arthi Prabhakar
• Gayle Cordelia Prabhakaran

• Occupational Health Nurse Practitioner in Tampa, FL
• Providers in Tampa, FL by specialty
• Occupational Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2021; 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.

Verify at the official NPI Registry.