Greater Tampa Bay Physician Network, LLC
NPI 1649604364ActiveOrganization· Internal Medicine· South Pasadena, FL
Internal Medicine in South Pasadena, Florida, registered in NPPES in August 2013. The authorized official on file is William Tederick Johnson, Group Vice President/Ao. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1649604364 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 29, 2013 |
| Last updated in NPPES | Oct 15, 2020 |
| Certified by provider | Oct 15, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
| Internal Medicine, Cardiovascular Disease | 207RC0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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