Internal Medicine & Pediatrics Of Tampa Bay Pa

LBN: Internal Medicine & Pediatrics Of Tampa Bay Pa
Internal Medicine & Pediatrics Of Tampa Bay Pa is an health care organization with primary practice located at 10111 Wilsky Blvd , Tampa FL 33625. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Internal Medicine & Pediatrics Of Tampa Bay Pa can be contacted via phone (813) 961-2222, or through Demery, Frank D via phone (813) 961-2222.

Contact Information

Primary practice address
10111 Wilsky Blvd Tampa FL 33625
Phone: (813) 961-2222
Fax: (813) 961-2220
Website:
Map and Directions
Authorized official contact:
Name: Demery, Frank D Doctor of Medicine (MD)
Phone: (813) 961-2222

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME82542 Florida
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME87304 Florida
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME82542 Florida
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME87304 Florida
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1508816786
LBN Legal business name Internal Medicine & Pediatrics Of Tampa Bay Pa
DBA Doing business as
Authorized official Demery, Frank D Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 11th, 2006
Last updated Jan 10th, 2013 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508816786 NPPES
Florida MEDICAID 267054200
Florida MEDICAID 267056900
Florida MEDICAID 267055100

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