| Infectious Disease Consultants Of West Florida Llc | |
|
4710 N Habana Ave Ste 200 Tampa FL 33614-7146 | |
| (813) 450-3457 | |
| (877) 235-3648 |
| Full Name | Infectious Disease Consultants Of West Florida Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4710 N Habana Ave Ste 200, Tampa, Florida |
| Authorized Official Name and Position | Anil Chopra (PRESIDENT) |
| Authorized Official Contact | 3124026331 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Infectious Disease Consultants Of West Florida Llc 4710 N Habana Ave Ste 200 Tampa FL 33614-7146 Ph: (813) 450-3457 | Infectious Disease Consultants Of West Florida Llc 4710 N Habana Ave Ste 200 Tampa FL 33614-7146 Ph: (813) 450-3457 |
| NPI Number | 1609304849 |
|---|---|
| Provider Enumeration Date | 06/01/2017 |
| Last Update Date | 07/01/2024 |
| Medicare PECOS PAC ID | 0648541367 |
|---|---|
| Medicare Enrollment ID | O20170728002917 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609304849 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Anil Chopra |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1700081668 PECOS PAC ID: 8921023136 Enrollment ID: I20090603000188 |
| Provider Name | Parul Aneja |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124287511 PECOS PAC ID: 0345435194 Enrollment ID: I20131205000371 |
| Provider Name | Birungi N. Kayiira |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1972647907 PECOS PAC ID: 8224104088 Enrollment ID: I20150818006023 |
| Provider Name | Todd William Fixler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598449639 PECOS PAC ID: 6406219740 Enrollment ID: I20230904000245 |
| Provider Name | Shirley Aew Ball |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851075832 PECOS PAC ID: 5890159388 Enrollment ID: I20230918001059 |
| Provider Name | Miriam Ryan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1740484161 PECOS PAC ID: 9638367964 Enrollment ID: I20230922002968 |
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