| Tampa Bay Med Inc | |
|
7500 4th St N St Petersburg FL 33702-5400 | |
| (727) 526-4122 | |
| (727) 525-1835 |
| Full Name | Tampa Bay Med Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 7500 4th St N, St Petersburg, Florida |
| Authorized Official Name and Position | Benjamin J Abinales (PRESIDENT) |
| Authorized Official Contact | 7275264122 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tampa Bay Med Inc 7500 4th St N St Petersburg FL 33702-5400 Ph: (727) 526-4122 | Tampa Bay Med Inc 7500 4th St N St Petersburg FL 33702-5400 Ph: (727) 526-4122 |
| NPI Number | 1538578729 |
|---|---|
| Provider Enumeration Date | 08/13/2014 |
| Last Update Date | 08/13/2014 |
| Medicare PECOS PAC ID | 7517188832 |
|---|---|
| Medicare Enrollment ID | O20141029001582 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538578729 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Benjamin Abinales |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144458977 PECOS PAC ID: 5092988618 Enrollment ID: I20111026000981 |
| Provider Name | Natasha Blanco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184162489 PECOS PAC ID: 2163708843 Enrollment ID: I20170412000313 |
| Provider Name | Julia Treece Brew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891377123 PECOS PAC ID: 1153725544 Enrollment ID: I20210806001818 |
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