| Bay Area Neurology Llc | |
|
3225 S Macdill Ave Ste 129-300 Tampa FL 33629-8171 | |
| (813) 441-6803 | |
| (813) 524-6352 |
| Full Name | Bay Area Neurology Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3225 S Macdill Ave Ste 129-300, Tampa, Florida |
| Authorized Official Name and Position | Bhavin Patidar (PRESIDENT) |
| Authorized Official Contact | 8134416803 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bay Area Neurology Llc 3225 S Macdill Ave Ste 129-300 Tampa FL 33629-8171 Ph: (813) 441-6803 | Bay Area Neurology Llc 3225 S Macdill Ave Ste 129-300 Tampa FL 33629-8171 Ph: (813) 441-6803 |
| NPI Number | 1255849055 |
|---|---|
| Provider Enumeration Date | 01/15/2018 |
| Last Update Date | 03/22/2024 |
| Certification Date | 03/22/2024 |
| Medicare PECOS PAC ID | 8729341847 |
|---|---|
| Medicare Enrollment ID | O20231019000954 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255849055 | NPI | - | NPPES |
| 011056550 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| 363LP2300X | Nurse Practitioner - Primary Care | (* (Not Available)) | Secondary |
| Provider Name | Matthew J Pettit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609115534 PECOS PAC ID: 6305091372 Enrollment ID: I20130222000225 |
| Provider Name | Bhavin Patidar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114253796 PECOS PAC ID: 6103040001 Enrollment ID: I20140616002044 |
| Provider Name | Katherine E Cancel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144791690 PECOS PAC ID: 2961740436 Enrollment ID: I20190207000720 |
| Provider Name | Sonia Sara Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811546997 PECOS PAC ID: 4082049366 Enrollment ID: I20200114002538 |
| Provider Name | Courtney Bryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023633047 PECOS PAC ID: 7113331570 Enrollment ID: I20210126000598 |
| Provider Name | Marie Chambers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235775719 PECOS PAC ID: 5294118428 Enrollment ID: I20220819002144 |
| Provider Name | Altheria Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396367306 PECOS PAC ID: 7517331200 Enrollment ID: I20230320002916 |
| Provider Name | Danraj Francis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518741784 PECOS PAC ID: 7012371347 Enrollment ID: I20230919003582 |
| Provider Name | Marie Almanord |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669242848 PECOS PAC ID: 5092106310 Enrollment ID: I20240328003900 |
| Provider Name | Yelaine Garcia Medina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336739812 PECOS PAC ID: 0749629210 Enrollment ID: I20240416004224 |
| Provider Name | Melanie A Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417528100 PECOS PAC ID: 2365882321 Enrollment ID: I20240424004157 |
| Provider Name | Lorraine Lamberty Santaliz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275216871 PECOS PAC ID: 4486194263 Enrollment ID: I20240906003658 |
| Provider Name | Liliana Froseth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790517332 PECOS PAC ID: 8628501251 Enrollment ID: I20241104002194 |
| Provider Name | Cassandra Nichols |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427875772 PECOS PAC ID: 9739613357 Enrollment ID: I20241105002124 |
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