Healthcare Provider Details

I. General information

NPI: 1831847532
Provider Name (Legal Business Name): APC HEALTH INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2022
Last Update Date: 04/19/2022
Certification Date: 04/19/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1127 NIKKI VIEW DR.
BRADON FL
33511
US

IV. Provider business mailing address

1921 W. DR MARTIN LUTHER KING JR BLVD
TAMPA FL
33607-6509
US

V. Phone/Fax

Practice location:
  • Phone: 813-876-7600
  • Fax: 813-876-7675
Mailing address:
  • Phone: 813-876-7600
  • Fax: 813-876-7675

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: STANLEY R. DENNISON JR.
Title or Position: PHYSICIAN/OWNER
Credential: M.D.,MBA
Phone: 813-876-7600