| New Tampa Medical Center Pa | |
|
5381 Primrose Lake Circle Tampa FL 33647 | |
| (813) 615-2488 | |
| (813) 615-2504 |
| Full Name | New Tampa Medical Center Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 5381 Primrose Lake Circle, Tampa, Florida |
| Authorized Official Name and Position | Babatola Durojaiye (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8136152488 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Tampa Medical Center Pa Po Box 151376 Tampa FL 33684-1376 Ph: (813) 615-2488 | New Tampa Medical Center Pa 5381 Primrose Lake Circle Tampa FL 33647 Ph: (813) 615-2488 |
| NPI Number | 1902828999 |
|---|---|
| Provider Enumeration Date | 07/25/2006 |
| Last Update Date | 03/08/2023 |
| Medicare PECOS PAC ID | 2860493491 |
|---|---|
| Medicare Enrollment ID | O20070125000092 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902828999 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Babatola A Durojaiye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568400943 PECOS PAC ID: 4688665482 Enrollment ID: I20040520000860 |
| Provider Name | Michele C Sassine-petion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164796801 PECOS PAC ID: 3476789504 Enrollment ID: I20131120001365 |
| Provider Name | Sheila Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932825973 PECOS PAC ID: 1850769308 Enrollment ID: I20221115001188 |
| Provider Name | Miguelina Batista |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083483010 PECOS PAC ID: 5395188213 Enrollment ID: I20240208000069 |
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