Tampa Bay Primary Care Associates Pllc | |
320 W Fletcher Ave Ste 106 Tampa FL 33612-3400 | |
(813) 252-6114 | |
(813) 566-1781 |
Full Name | Tampa Bay Primary Care Associates Pllc |
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Speciality | Family Medicine |
Location | 320 W Fletcher Ave Ste 106, Tampa, Florida |
Authorized Official Name and Position | Lewis Jackson Barwick (CO-OWNER) |
Authorized Official Contact | 8132526114 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Tampa Bay Primary Care Associates Pllc 320 W Fletcher Ave Ste 106 Tampa FL 33612-3400 Ph: (813) 252-6114 | Tampa Bay Primary Care Associates Pllc 320 W Fletcher Ave Ste 106 Tampa FL 33612-3400 Ph: (813) 252-6114 |
NPI Number | 1164173027 |
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Provider Enumeration Date | 01/12/2022 |
Last Update Date | 10/05/2023 |
Medicare PECOS PAC ID | 4183003916 |
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Medicare Enrollment ID | O20220623003410 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164173027 | NPI | - | NPPES |
113298500 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | William E Torres |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1144460684 PECOS PAC ID: 2062685779 Enrollment ID: I20210324001460 |
Provider Name | Lewis Barwick |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689332892 PECOS PAC ID: 5395130611 Enrollment ID: I20220322003320 |
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