Orthostem Institute, Pa | |
2202 N West Shore Blvd Ste 140 Tampa FL 33607-5759 | |
(813) 575-5276 | |
(813) 315-7061 |
Full Name | Orthostem Institute, Pa |
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Speciality | Internal Medicine |
Location | 2202 N West Shore Blvd Ste 140, Tampa, Florida |
Authorized Official Name and Position | Robert M Dean (PHYSICIAN/OWNER) |
Authorized Official Contact | 8135755276 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Orthostem Institute, Pa 2202 N West Shore Blvd Ste 140 Tampa FL 33607-5759 Ph: (813) 575-5276 | Orthostem Institute, Pa 2202 N West Shore Blvd Ste 140 Tampa FL 33607-5759 Ph: (813) 575-5276 |
NPI Number | 1255786372 |
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Provider Enumeration Date | 04/26/2016 |
Last Update Date | 08/25/2021 |
Medicare PECOS PAC ID | 1153606397 |
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Medicare Enrollment ID | O20210907002759 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255786372 | NPI | - | NPPES |
1619053766 | Other | FL | PERSONAL NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (Florida) | Primary |
Provider Name | Anthony Esposito |
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Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1710267620 PECOS PAC ID: 4183993314 Enrollment ID: I20170703001350 |
Provider Name | Robert Dean |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1619053766 PECOS PAC ID: 6002092830 Enrollment ID: I20210907002945 |
Provider Name | Richard J Genato |
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Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1366468282 PECOS PAC ID: 5395737480 Enrollment ID: I20210916001474 |
Provider Name | Andrea K Howard |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578905022 PECOS PAC ID: 8921232588 Enrollment ID: I20220922000387 |
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