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PREVENTION 305 INC NPI 1689447336


NPI Information

NPI: 1689447336
Provider Name: PREVENTION 305, INC

Former Legal Business Name: PREVENTION ACCESS CAMPAIGN

Classification: Internal Medicine - 207RI0200X
Entity Type: Organization

Specialization: Infectious Disease

CLIA Number: 10D2299644

Address:
3317 W GANDY BLVD
TAMPA, FL
ZIP 33611
Phone: (813) 902-8600
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PREVENTION 305, INC is an infectious disease internal medicine in Tampa, FL. The provider is an internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. PREVENTION 305, INC NPI is 1689447336. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Prevention Access Campaign.

The provider's business location address is:

3317 W GANDY BLVD
TAMPA, FL
ZIP 33611-931
Phone: (813) 902-8600
Fax: (813) 902-8800

The provider's authorized official is Patrick Whiteside .
The authorized official title is Chief Executive Officer and has the following contact phone number (305) 812-8380.

The CLIA number assigned to this NPI record is 10D2299644 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/3/2023 and was last updated on 1/18/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RI0200XInternal MedicineInfectious DiseaseYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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