| Infectious Disease Associates Of Tampa Bay | |
|
4729 N Habana Ave Tampa FL 33614-7113 | |
| (813) 251-8444 | |
| Not Available |
| Full Name | Infectious Disease Associates Of Tampa Bay |
|---|---|
| Speciality | Internal Medicine |
| Location | 4729 N Habana Ave, Tampa, Florida |
| Authorized Official Name and Position | Colby Enlow (PRACTICE MANAGER) |
| Authorized Official Contact | 8132518444 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Infectious Disease Associates Of Tampa Bay 4729 N Habana Ave Tampa FL 33614-7113 Ph: (813) 251-8444 | Infectious Disease Associates Of Tampa Bay 4729 N Habana Ave Tampa FL 33614-7113 Ph: (813) 251-8444 |
| NPI Number | 1033192661 |
|---|---|
| Provider Enumeration Date | 11/29/2005 |
| Last Update Date | 03/01/2021 |
| Medicare PECOS PAC ID | 0345338554 |
|---|---|
| Medicare Enrollment ID | O20071121000075 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033192661 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Nadeem R. Khan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1174506703 PECOS PAC ID: 9638165244 Enrollment ID: I20040421000219 |
| Provider Name | Yagneshvari S Patel |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1164695904 PECOS PAC ID: 7113098252 Enrollment ID: I20080618000249 |
| Provider Name | Tran C Phung |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1548455827 PECOS PAC ID: 9537290556 Enrollment ID: I20100708000077 |
| Provider Name | Marela Z Velez |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1174718522 PECOS PAC ID: 1951432970 Enrollment ID: I20100708000125 |
| Provider Name | Lindell Busciglio |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1558344184 PECOS PAC ID: 4981897139 Enrollment ID: I20101020000147 |
| Provider Name | Scott Ubillos |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1396728911 PECOS PAC ID: 8628262581 Enrollment ID: I20101104000629 |
| Provider Name | Cynthia Mayer |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1720061344 PECOS PAC ID: 2769677434 Enrollment ID: I20101109000192 |
| Provider Name | Margarita Cancio |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1730162348 PECOS PAC ID: 5294823472 Enrollment ID: I20101111000050 |
| Provider Name | Rachel Franck Irby |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1275728586 PECOS PAC ID: 0244417897 Enrollment ID: I20110607000657 |
| Provider Name | Pamela R Noel |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1972764710 PECOS PAC ID: 1557532744 Enrollment ID: I20110920000279 |
| Provider Name | Nicole A Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891062071 PECOS PAC ID: 8426212713 Enrollment ID: I20120618000635 |
| Provider Name | Jennifer G Bush |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255664918 PECOS PAC ID: 9335396498 Enrollment ID: I20120823000787 |
| Provider Name | Moise Lanet Carrington |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1205086782 PECOS PAC ID: 2668650441 Enrollment ID: I20130327000226 |
| Provider Name | Jane N Mai |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1306164264 PECOS PAC ID: 0244467157 Enrollment ID: I20131223000922 |
| Provider Name | Jeniffer Torres-velazco |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1568781953 PECOS PAC ID: 6709103484 Enrollment ID: I20150317001184 |
| Provider Name | Lysenia Mojica |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1215256649 PECOS PAC ID: 0446577399 Enrollment ID: I20150709002698 |
| Provider Name | Meghan M. Harris |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1306145164 PECOS PAC ID: 3072810217 Enrollment ID: I20160401001242 |
| Provider Name | Joseph B. Paruolo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639461742 PECOS PAC ID: 1254639933 Enrollment ID: I20160413000692 |
| Provider Name | Asad Khan Mohmand |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1336349182 PECOS PAC ID: 2668543745 Enrollment ID: I20160804002544 |
| Provider Name | Shuchi Pandya |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1669869822 PECOS PAC ID: 5193001485 Enrollment ID: I20170421001731 |
| Provider Name | Mark C. Nuguid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447785290 PECOS PAC ID: 7012287576 Enrollment ID: I20170717002970 |
| Provider Name | Manju Shivan Haridas |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1083805469 PECOS PAC ID: 1254503899 Enrollment ID: I20180307001585 |
| Provider Name | Deepthi Murthy |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1265476089 PECOS PAC ID: 6204962814 Enrollment ID: I20180509000394 |
| Provider Name | Sarah Shewayish |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1689936437 PECOS PAC ID: 8123340205 Enrollment ID: I20200706000131 |
| Provider Name | Anmary Altagracia Fernandez De Checo |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1720462419 PECOS PAC ID: 4284932625 Enrollment ID: I20210423001249 |
| Provider Name | Ryan Thomas Cardew |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1457880460 PECOS PAC ID: 2264854744 Enrollment ID: I20230504000097 |
| Provider Name | Arun Joseph Sunny |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1275094823 PECOS PAC ID: 8325372105 Enrollment ID: I20240501001576 |
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