| Physical Medicine Center | |
|
14522 University Point Pl Tampa FL 33613-5425 | |
| (813) 978-0020 | |
| (813) 972-9024 |
| Full Name | Physical Medicine Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 14522 University Point Pl, Tampa, Florida |
| Authorized Official Name and Position | Robert Carl Lupo (OWNER/CLINIC DIRECTOR) |
| Authorized Official Contact | 8139780020 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Physical Medicine Center 14522 University Point Pl Tampa FL 33613-5425 Ph: (813) 978-0020 | Physical Medicine Center 14522 University Point Pl Tampa FL 33613-5425 Ph: (813) 978-0020 |
| NPI Number | 1902810963 |
|---|---|
| Provider Enumeration Date | 07/27/2006 |
| Last Update Date | 08/16/2010 |
| Medicare PECOS PAC ID | 9335046184 |
|---|---|
| Medicare Enrollment ID | O20031218000495 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902810963 | NPI | - | NPPES |
| 22031 | Other | FL | BCBS |
| PT9405 | Other | FL | LICENSE# |
| CH5346 | Other | FL | LICENSE# |
| 21592 | Other | FL | BCBS |
| CH9181 | Other | FL | LICENSE NUMBER |
| ME23061 | Other | FL | LICENSE# |
| CH8350 | Other | FL | LICENSE |
| 12043 | Other | FL | BCBS |
| CH8937 | Other | FL | LICENSE# |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Jeffrey T Farrell |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1255320552 PECOS PAC ID: 8729012174 Enrollment ID: I20050924000094 |
| Provider Name | Daniel J Madock |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1053518845 PECOS PAC ID: 5698853984 Enrollment ID: I20080428000401 |
| Provider Name | Robert C Lupo |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1053516245 PECOS PAC ID: 4587827357 Enrollment ID: I20120516000011 |
| Provider Name | Emilio L Perez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528220142 PECOS PAC ID: 3870651813 Enrollment ID: I20121121000275 |
| Provider Name | Juan Ramos |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1306059530 PECOS PAC ID: 4880847086 Enrollment ID: I20130122000458 |
| Provider Name | Jessica J Wilson-chan |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1306153606 PECOS PAC ID: 1658519723 Enrollment ID: I20130531000003 |
| Provider Name | Nataliya Sia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720328891 PECOS PAC ID: 8123254950 Enrollment ID: I20131126000823 |
| Provider Name | Kathleen M Lauritano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871946327 PECOS PAC ID: 5496034431 Enrollment ID: I20161116000820 |
| Provider Name | Stephanie A Queen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619518008 PECOS PAC ID: 7810313327 Enrollment ID: I20200814000632 |
| Provider Name | Dana Bentley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306589767 PECOS PAC ID: 3678951977 Enrollment ID: I20220527000075 |
| Provider Name | Austin C Baker |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1497194161 PECOS PAC ID: 1052833068 Enrollment ID: I20250319002922 |
Main St Medical Usa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11734 North Dale Mabry, Tampa, FL 33618 Phone: 813-968-6000 Fax: 813-968-6007 | |
Bay Central Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4712 N Armenia Ave, Suite 102, Tampa, FL 33603 Phone: 813-873-1725 Fax: 813-873-2924 | |
After Care Centers Of Florida Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3424 W Kennedy Blvd, Tampa, FL 33609 Phone: 855-716-3342 | |
Sarroca Medical Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3709 W Hamilton Ave, Unit 9., Tampa, FL 33614 Phone: 813-374-7608 Fax: 813-374-9124 | |
Simmons Medical Group South Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 301 Harbour Place Dr Unit 2007, Tampa, FL 33602 Phone: 248-321-6612 Fax: 813-964-6337 | |
Tampa Mobile Physicians Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3225 S Macdill Ave Ste 129-313, Tampa, FL 33629 Phone: 813-200-8857 Fax: 813-200-1319 | |
Associated Practice Management Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4830 W Kennedy Blvd Ste 600-114, Tampa, FL 33609 Phone: 727-430-3694 |