1538195714 NPI number — SONIA READ MD PA

Table of content: (NPI 1538195714)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1538195714 NPI number — SONIA READ MD PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SONIA READ MD PA
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1538195714
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/28/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1508
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEW PORT RICHEY
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
34656-1508
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
727-845-1652
Provider Business Mailing Address Fax Number:
727-845-1642

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5411 GRAND BLVD
Provider Second Line Business Practice Location Address:
SUITE 106
Provider Business Practice Location Address City Name:
NEW PORT RICHEY
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
34652-4011
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
727-845-1652
Provider Business Practice Location Address Fax Number:
727-845-1642
Provider Enumeration Date:
06/23/2006

Additional Information

Authorized Official

Authorized Official Last Name:
READ
Authorized Official First Name:
SONIA
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
727-845-1652

Provider Taxonomy Codes

  • Taxonomy code: 207RN0300X , with the licence number:  ME0066959 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 3105012 . This is a "HUMANA" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 376658600 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 01124 . This is a "HEALTHEASE" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 48265 . This is a "VYTRA" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 214635 . This is a "ST AUGUSTINE" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 214635 . This is a "AVMED" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 25871 . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 390005631 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 6004584 . This is a "GHI" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 016857300 . This is a "Florida Medicaid Provider ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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