| Health Associates Of Tampa Bay Pa | |
|
508 S Habana Ave Ste 300and Tampa FL 33609-4181 | |
| (813) 877-6770 | |
| (813) 877-6771 |
| Full Name | Health Associates Of Tampa Bay Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 508 S Habana Ave Ste 300and, Tampa, Florida |
| Authorized Official Name and Position | Jeetpaul Saran (OWNER) |
| Authorized Official Contact | 8138908004 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Health Associates Of Tampa Bay Pa 2605 W Swann Ave Ste 100 Tampa FL 33609-4039 Ph: (813) 877-6770 | Health Associates Of Tampa Bay Pa 508 S Habana Ave Ste 300and Tampa FL 33609-4181 Ph: (813) 877-6770 |
| NPI Number | 1295007789 |
|---|---|
| Provider Enumeration Date | 01/31/2012 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 1153580725 |
|---|---|
| Medicare Enrollment ID | O20120319000166 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295007789 | NPI | - | NPPES |
| ME107704 | Other | FL | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME107704 (Florida) | Primary |
| Provider Name | Charles Fischman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255314365 PECOS PAC ID: 3476520057 Enrollment ID: I20100215000373 |
| Provider Name | Jeetpaul Singh Saran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972701969 PECOS PAC ID: 6204020431 Enrollment ID: I20101102000691 |
| Provider Name | Ambrose John Joseph Chazhikattu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629206701 PECOS PAC ID: 0446406706 Enrollment ID: I20140909000165 |
| Provider Name | Mirjam Ball |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518488790 PECOS PAC ID: 6507139383 Enrollment ID: I20170829003975 |
| Provider Name | Wesley Dean Gooch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366054611 PECOS PAC ID: 7315358322 Enrollment ID: I20201124000359 |
| Provider Name | Rabelle Talreja |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417537887 PECOS PAC ID: 1850799214 Enrollment ID: I20211015000065 |
| Provider Name | Lena Marie Willis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013620988 PECOS PAC ID: 4284008491 Enrollment ID: I20230329001697 |
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