| Top Physicians Group, Inc | |
|
8751 N 30th St Tampa FL 33604-2213 | |
| (813) 931-0000 | |
| (813) 909-8517 |
| Full Name | Top Physicians Group, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 8751 N 30th St, Tampa, Florida |
| Authorized Official Name and Position | Robyn M Roche (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 8139310000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Top Physicians Group, Inc Po Box 2050 Lutz FL 33548-2050 Ph: (813) 931-0000 | Top Physicians Group, Inc 8751 N 30th St Tampa FL 33604-2213 Ph: (813) 931-0000 |
| NPI Number | 1477723179 |
|---|---|
| Provider Enumeration Date | 03/10/2008 |
| Last Update Date | 03/09/2021 |
| Medicare PECOS PAC ID | 0244497154 |
|---|---|
| Medicare Enrollment ID | O20120206000042 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477723179 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME0050777 (Florida) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | William Brent Young |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376649202 PECOS PAC ID: 3274559356 Enrollment ID: I20051018000786 |
| Provider Name | Mark S Eisner |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1902815103 PECOS PAC ID: 0446154348 Enrollment ID: I20100322000769 |
| Provider Name | Rosemay T. Latortue |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396803615 PECOS PAC ID: 6608033519 Enrollment ID: I20120206000059 |
| Provider Name | Mark Felix Roldan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104308329 PECOS PAC ID: 1850639121 Enrollment ID: I20190212000831 |
| Provider Name | Ann-marie Sherry Harris-polanco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104589027 PECOS PAC ID: 3274924279 Enrollment ID: I20211230001311 |
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