MEDICARE: HEALTHPOINT MEDICAL GROUP INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1235188269
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTHPOINT MEDICAL GROUP INC

Provider Business Mailing Address
First Line	:	4902 EISENHOWER BLVD
Second Line	:	SUITE 300
City	:	TAMPA
State	:	FL
Zip	:	33634-6344
Country	:	US
Telephone Number	:	813-636-2000
Fax Number	:	813-636-2050

Provider Business Practice Location Address
First Line	:	3040 COLLEGE AVE E
Second Line	:
City	:	RUSKIN
State	:	FL
Zip	:	33570-5220
Country	:	US
Telephone Number	:	813-645-5167
Fax Number	:	813-645-8814

Authorized Official
Title or Position	:	CORPORATE OFFICE-AUTHORIZED AGENT
Name	:	SHERRY DORSEY
Credential	:
Telephone Number	:	813-636-2022

Provider Enumeration Date	:	05/08/2006
Last Update Date	:	09/04/2008

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Directions to “HEALTHPOINT MEDICAL GROUP INC ” Practice Location

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