South Tampa Medical Group Pa

LBN: South Tampa Medical Group Pa
South Tampa Medical Group Pa is an health care organization with primary practice located at 206 2Nd St E , Bradenton FL 34208-1042. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. South Tampa Medical Group Pa can be contacted via phone (941) 746-5111, or through Weiss, Henry J via phone (352) 516-8991.

Contact Information

Primary practice address
206 2Nd St E Bradenton FL 34208-1042
Phone: (941) 746-5111
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Weiss, Henry J Doctor of Medicine (MD)
Phone: (352) 516-8991

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1588718860
LBN Legal business name South Tampa Medical Group Pa
DBA Doing business as
Authorized official Weiss, Henry J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 23rd, 2007
Last updated May 5th, 2022 - about 4 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 1588718860 NPPES
Florida Other O9089 MEDICARE

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