MEDICARE: TAMPA MEDICAL CARE, 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	261QM2500X	Medical Specialty Clinic/Center
2	207R00000X	Internal Medicine Physician	ME0068445	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	110150380	OTHER	FL	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	28453	OTHER	FL	BCBS
4	201223	OTHER	FL	AMERIGROUP
5	246331	OTHER	FL	AVMED
6	ME0068445	OTHER	FL	MEDICAL LICENSE

General Provider Information

NPI Number	:	1114927027
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TAMPA MEDICAL CARE, INC.

Provider Business Mailing Address
First Line	:	5106 N ARMENIA AVE STE 4
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33603-1433
Country	:	US
Telephone Number	:	813-931-2366
Fax Number	:	813-936-8886

Provider Business Practice Location Address
First Line	:	5106 N ARMENIA AVE STE 4
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33603-1433
Country	:	US
Telephone Number	:	813-931-2366
Fax Number	:	813-936-8886

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	DR. CHANDRA PRAKASH BAPNA
Credential	:	MD
Telephone Number	:	813-931-2366

Provider Enumeration Date	:	07/21/2005
Last Update Date	:	01/29/2020

Similar Medicare Providers

1922008366 — DR. CHANDRA BAPNA MD
Practice Location Address:

5106 N ARMENIA AVE , SUITE 4
TAMPA, FL
33603-1433

Practice Phone: 813-931-2366
Practice Fax: 813-936-8886

1962496133 — RAKESH KUMAR MD
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5106 N ARMENIA AVE , SUITE #3
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1154317121 — DR. RICHARD IAN GOLDBERGER M.D.
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5106 N ARMENIA AVE , SUITE 4
TAMPA, FL
33603-1433

Practice Phone: 813-875-0074
Practice Fax: 813-878-0186

1568408870 — MR. KIRTI J PANDYA M.D.
Practice Location Address:

5106 N ARMENIA AVE , #3
TAMPA, FL
33603-1433

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1447347554 — DAVID MORRISON MD
Practice Location Address:

5106 N ARMENIA AVE STE 5
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33603-1433

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1861513640 — DR. JOHN RICHARD GUNDERMAN M.D.
Practice Location Address:

5106 N ARMENIA AVE , SUITE 5
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Practice Phone: 813-879-7816
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Directions to “TAMPA MEDICAL CARE, INC. ” Practice Location

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