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PHOENIX AMERICAN MEDICAL LLC
NPI 1649784489
Internal Medicine in Tampa, FL

Active since November 30, 2017
1030 S 78TH ST, TAMPA, FL 33619(813) 740-0646(813) 609-3733 Get Directions Write a Review

NPPES record last updated: November 13, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 13, 2023, Jan 19, 2023, Apr 30, 2019 and 2 more (5 updates tracked since 2017).

About Phoenix American Medical Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHOENIX AMERICAN MEDICAL LLC (NPI 1649784489) is a healthcare organization registered as an internal medicine in Tampa, Florida and active in the NPI registry since November 2017. The organization lists Azzam Muftah, Owner, as its authorized official.

NPPES Registry Identity

NPI1649784489
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePHOENIX AMERICAN MEDICAL LLC
Location Address1030 S 78TH STTampa, FL 33619-4750
Mailing Address14690 Spring Hill Dr Ste 101Spring Hill, FL 34609-8102 · (352) 428-7817 · Fax (352) 797-2491
Phone(813) 740-0646
Fax(813) 609-3733
Organization SubpartYesParent: Shifa Healthcare Holdings Llc
Authorized OfficialAzzam MuftahOwner · (352) 277-5348
Enumeration DateNovember 30, 2017
Last NPPES UpdateNovember 13, 20235 updates tracked since enumeration
NPPES CertifiedNovember 13, 2023
✔ NPI 1649784489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1030 S 78TH ST, Tampa, FL 33619
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MANGESH B PATEL M.D. PA
Family Medicine
1030 S 78TH ST
TAMPA, FL 33619
Hillsborough County (813) 740-0646
MANGESH B PATEL MD
Family Medicine
1030 S 78TH ST
TAMPA, FL 33619
Hillsborough County (813) 740-0646
ERNESTO NUNEZ APRN
Nurse Practitioner (Gerontology)
1030 S 78TH ST
TAMPA, FL 33619
Hillsborough County (813) 740-0646
VINAYAL JOSEPH
Nurse Practitioner
1030 S 78TH ST
TAMPA, FL 33619
Hillsborough County (813) 740-0646

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phoenix American Medical LLC's NPI number?

The NPI number for Phoenix American Medical LLC is 1649784489. It was assigned to this organization in the NPPES registry on November 30, 2017.

Where is Phoenix American Medical LLC located?

Phoenix American Medical LLC is located at 1030 S 78th St, Tampa, FL 33619. The listed phone number is (813) 740-0646.

What is Phoenix American Medical LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

What insurance does Phoenix American Medical LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Phoenix American Medical LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Phoenix American Medical LLC was last updated on November 13, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.