YOUR BEST YOU P.A. NPI 1699217190

NPI Information

NPI: 1699217190
Provider Name: YOUR BEST YOU, P.A.

Other Name: PERSONALIZED PRIMARY & DIABETES SPECIALTY CARE

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
15511 N FLORIDA AVE
SUITE 502
TAMPA, FL
ZIP 33613
Phone: (813) 936-2609
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YOUR BEST YOU, P.A. is a multi-specialty clinic center in Tampa, FL. YOUR BEST YOU, P.A. NPI is 1699217190. The provider is registered as an organization entity type.
The provider Other Name Is Personalized Primary & Diabetes Specialty Care.

The provider's business location address is:

15511 N FLORIDA AVE
SUITE 502
TAMPA, FL
ZIP 33613-263
Phone: (813) 936-2609
Fax: (813) 252-4452

The provider's authorized official is Shani Vann Davis .
The authorized official title is Owner, Nurse Practitioner and has the following contact phone number (813) 936-2609.

The enumeration date for this NPI number is 11/15/2016 and was last updated on 11/15/2016.

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
1	261QM1300X	Clinic/Center	Multi-Specialty			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	IQ397A	OTHER	FLORIDA	MEDICARE PTAN
2	1245693530	OTHER		NPI FOR YOUR BEST YOU, P.A.
3	Q15654	MEDICARE UPIN	FLORIDA
4	636270	OTHER	FLORIDA	MEDICAID ATN INDIV
5	IQ399Z	OTHER	FLORIDA	MEDICARE PTAN (INDIV.)
6	2086 W. BUSCH BLVD.	OTHER		REMOVE THIS ADDRESS
7	636246	OTHER	FLORIDA	MEDICAID ATN 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: 5/5/2024

NPI Synchronization or Removal

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