| Tampa Internist Professional Associate | |
|
4543 S Manhattan Ave Ste. 103 Tampa FL 33611-2330 | |
| (813) 831-8888 | |
| (813) 831-6292 |
| Full Name | Tampa Internist Professional Associate |
|---|---|
| Speciality | Clinic/Center |
| Location | 4543 S Manhattan Ave, Tampa, Florida |
| Authorized Official Name and Position | Nimesh Panchigar (MD) |
| Authorized Official Contact | 8136845098 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tampa Internist Professional Associate 5915 Jaegerglen Dr Lithia FL 33547-5864 Ph: (813) 684-5098 | Tampa Internist Professional Associate 4543 S Manhattan Ave Ste. 103 Tampa FL 33611-2330 Ph: (813) 831-8888 |
| NPI Number | 1497866560 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 10/23/2020 |
| Medicare PECOS PAC ID | 6901909696 |
|---|---|
| Medicare Enrollment ID | O20070319000248 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497866560 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (Florida) | Primary |
| Provider Name | Nimesh Naresh Panchigar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346279148 PECOS PAC ID: 1850353913 Enrollment ID: I20050609000264 |
| Provider Name | Tanya N Schrumpf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205832565 PECOS PAC ID: 3577568344 Enrollment ID: I20200414003769 |
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