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NPI Code Detail

MEDICARE: POM ENDO INC

MEDICARE: POM ENDO 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
1207RE0101XEndocrinology, Diabetes & Metabolism Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1952252314
Entity Type Code : Organization
Provider Name (Legal Business Name) : POM ENDO INC
Provider Business Mailing Address
First Line : 12094 ANDERSON RD # 177
Second Line :
City : TAMPA
State : FL
Zip : 33625-5682
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5331 PRIMROSE LAKE CIR STE 112
Second Line :
City : TAMPA
State : FL
Zip : 33647-3764
Country : US
Telephone Number : 813-316-6500
Fax Number :
Authorized Official
Title or Position : CEO
Name : JESSICA RONDON
Credential : APRN
Telephone Number : 813-316-6500
Provider Enumeration Date : 02/03/2026
Last Update Date : 02/03/2026

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Directions to “POM ENDO INC ” Practice Location

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