Healthcare Provider Details

I. General information

NPI: 1780716613
Provider Name (Legal Business Name): CMS HEALTHCARE ACQUISITION, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10008 N DALE MABRY HWY SUITE 214
TAMPA FL
33618-4424
US

IV. Provider business mailing address

10008 N DALE MABRY HWY SUITE 214
TAMPA FL
33618-4424
US

V. Phone/Fax

Practice location:
  • Phone: 813-264-7577
  • Fax: 813-349-2177
Mailing address:
  • Phone: 813-264-7577
  • Fax: 813-349-2177

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. SAM TONEY
Title or Position: CHIEF MEDICAL OFFICER
Credential: M.D.
Phone: 813-264-7577