MY TELEVISIT MD LLC NPI 1174374011

NPI Information

  • NPI: 1174374011
  • Provider Name: MY TELEVISIT MD LLC
  • Classification: Case Manager/Care Coordinator - 171M00000X
  • Entity Type: Organization
  • Address: 5560 ROOSEVELT BOULEVARD
    SUITE 4 #50
    CLEARWATER, FL
    ZIP 33760
  • Phone: (727) 415-2308

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NPI Details

MY TELEVISIT MD LLC is a case manager care coordinator in Clearwater, FL. The provider is a person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. MY TELEVISIT MD LLC NPI is 1174374011. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5560 ROOSEVELT BOULEVARD
SUITE 4 #50
CLEARWATER, FL
ZIP 33760
Phone: (727) 415-2308

The provider's authorized official is Michael Paul Bagby .
The authorized official title is Ceo/ambr and has the following contact phone number (727) 415-2308.

The enumeration date for this NPI number is 3/28/2024 and was last updated on 3/28/2024.

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
1101YM0800XCounselorMental HealthNo
2133NN1002XNutritionistNutrition, EducationNo
3163WH0200XRegistered NurseHome HealthNo
4171M00000XCase Manager/Care CoordinatorYes
52083P0901XPreventive MedicinePublic Health & General Preventive MedicineNo
6208D00000XGeneral PracticeNo
7261Q00000XClinic/CenterNo
8261QR0800XClinic/CenterRecovery CareNo
9261QR1300XClinic/CenterRural HealthNo
10374U00000XHome Health AideNo

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: 11/21/2025

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