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WEST FLORIDA PHYSICIAN NETWORK LLC NPI 1376779496


NPI Information

NPI: 1376779496
Provider Name: WEST FLORIDA PHYSICIAN NETWORK, LLC

Doing Business As: HEALTHCARE AMERICA MEDICAL GROUP

Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 10D1014393

Address:
315 75TH ST W
BRADENTON, FL
ZIP 34209
Phone: (941) 761-1998
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WEST FLORIDA PHYSICIAN NETWORK, LLC is an internal medicine in Bradenton, FL. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. WEST FLORIDA PHYSICIAN NETWORK, LLC NPI is 1376779496. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Healthcare America Medical Group.

The provider's business location address is:

315 75TH ST W
BRADENTON, FL
ZIP 34209-201
Phone: (941) 761-1998
Fax: (877) 501-8537

The provider's authorized official is William Tedrick Johnson .
The authorized official title is Vice President/ao and has the following contact phone number (615) 372-3375.

The CLIA number assigned to this NPI record is 10D1014393 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/3/2009 and was last updated on 10/21/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineNo
2207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismNo
3207RR0500XInternal MedicineRheumatologyNo
4207VG0400XObstetrics & GynecologyGynecologyNo
5207X00000XOrthopaedic SurgeryNo
6208100000XPhysical Medicine & RehabilitationNo
72084N0400XPsychiatry & NeurologyNeurologyNo
8208600000XSurgeryNo
9225100000XPhysical TherapistNo
10363A00000XPhysician AssistantNo
11363L00000XNurse PractitionerNo
12207R00000XInternal MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
133271OTHERFLORIDABCBS GROUP PROVIDER #
2CD227AOTHERFLORIDAMEDICARE GROUP #

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.