Active NPI 1467553966 Individual Practitioner Male Practitioner

Dr. Bruce A Piszel , MD

Specialist • Brandon, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Bruce Piszel, MD is a certified Specialist practicing in Brandon, FL. With approximately 27 years of clinical experience since completing medical education in 1999, Dr. Piszel delivers high-quality medical care to the local community at 403 S KINGS AVE STE 201.

Dr. Piszel is affiliated with Tampa Pain Relief Center Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, testing for presence of drug, by chemistry analyzers, injection of lower or sacral spine facet joint using imaging guidance, second level. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

403 S Kings Ave Ste 201

Brandon, FL 33511

Telephone 8138724492

Fax 8134909635

Associated Practice Facility / Clinic

🏢 Tampa Pain Relief Center, Inc. Facility NPI 1871543751

Medicare Profile & Education

Medical School

Other

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Brandon, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

27 Yrs -8.7 yrs vs City Avg

City Avg: 35.7 Yrs

State Avg: 37.8 Yrs

Regional Practice Density

24 Specialists

Practicing in Brandon, FL (3036 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

89.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Piszel (27 Years) 27 Yrs

Brandon Specialty Average (35.7 Years) 35.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,276	327	$535.00	$123.16
99213 Established patient office or other outpatient visit, typically 15 minutes	366	194	$364.00	$87.17
80307 Testing for presence of drug, by chemistry analyzers	95	91	$400.00	$59.62
64494 Injection of lower or sacral spine facet joint using imaging guidance, second level	69	46	$973.91	$71.32
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	68	44	$1550.74	$126.61
J1885 Injection, ketorolac tromethamine, per 15 mg	62	27	$30.00	$0.64
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	56	21	$50.00	$1.00
64490 Injection of upper or middle spine facet joint using imaging guidance, single level	43	24	$1222.60	$121.17
64636 Destruction of lower or sacral spinal facet joint nerves with imaging guidance	42	39	$1704.69	$80.70
64635 Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint	42	39	$4035.26	$255.78
64491 Injection of upper or middle spine facet joint using imaging guidance, second level	41	23	$717.07	$67.69
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$833.00	$163.37
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	30	25	$1655.50	$141.47
62321 Injection of substance into middle or upper spine canal using imaging guidance	22	19	$576.00	$93.97
64634 Destruction of upper or middle spinal facet joint nerves with imaging guidance	21	18	$1303.93	$75.17
64633 Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint	21	18	$2959.64	$206.24
95886 Needle measurement of electrical activity in arm or leg muscles, complete study	19	14	$416.00	$128.29
95913 Nerve conduction, 13 or more studies	13	13	$1504.00	$254.47
62323 Injection of substance into lower spine canal using imaging guidance	13	12	$524.00	$91.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,124	344	$535.00	$123.04
99213 Established patient office or other outpatient visit, typically 15 minutes	1,084	312	$364.00	$87.94
80307 Testing for presence of drug, by chemistry analyzers	159	159	$400.00	$59.45
J1885 Injection, ketorolac tromethamine, per 15 mg	123	63	$30.00	$0.53
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	90	36	$50.00	$1.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	58	58	$833.00	$162.27
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	58	40	$1768.97	$126.32
64494 Injection of lower or sacral spine facet joint using imaging guidance, second level	57	39	$1115.79	$71.86
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	52	41	$1776.92	$133.27
95886 Needle measurement of electrical activity in arm or leg muscles, complete study	32	28	$481.00	$164.32
95913 Nerve conduction, 13 or more studies	25	25	$1504.00	$258.86
27096 Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance	22	18	$1155.00	$97.08
64636 Destruction of lower or sacral spinal facet joint nerves with imaging guidance	22	21	$1943.60	$86.77
64635 Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint	22	21	$4600.80	$275.44
64490 Injection of upper or middle spine facet joint using imaging guidance, single level	22	13	$1378.64	$107.91
64491 Injection of upper or middle spine facet joint using imaging guidance, second level	21	13	$819.05	$64.61
62321 Injection of substance into middle or upper spine canal using imaging guidance	19	15	$576.00	$101.33
20610 Aspiration and/or injection of fluid from large joint	18	16	$309.00	$64.24
62323 Injection of substance into lower spine canal using imaging guidance	17	16	$524.00	$98.19
64484 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level	14	13	$942.86	$56.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,596	395	$535.00	$124.32
99213 Established patient office or other outpatient visit, typically 15 minutes	1,260	291	$364.00	$88.71
80307 Testing for presence of drug, by chemistry analyzers	268	234	$400.00	$59.65
J1885 Injection, ketorolac tromethamine, per 15 mg	170	79	$30.00	$0.55
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	143	50	$50.00	$1.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	65	65	$833.00	$167.43
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	46	40	$2262.17	$139.17
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	35	25	$1791.43	$129.71
64494 Injection of lower or sacral spine facet joint using imaging guidance, second level	35	25	$1131.43	$74.88
95886 Needle measurement of electrical activity in arm or leg muscles, complete study	32	27	$429.00	$156.90
95913 Nerve conduction, 13 or more studies	29	29	$1504.00	$287.58
64635 Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint	25	23	$4613.64	$276.66
64636 Destruction of lower or sacral spinal facet joint nerves with imaging guidance	24	22	$1988.80	$89.72
27096 Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance	23	19	$1215.26	$100.59
20610 Aspiration and/or injection of fluid from large joint	21	16	$309.00	$65.47
62323 Injection of substance into lower spine canal using imaging guidance	19	19	$524.00	$92.86
62321 Injection of substance into middle or upper spine canal using imaging guidance	18	17	$576.00	$103.21
63685 Insertion of spinal neurostimulator pulse generator or receiver	12	11	$3300.00	$290.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,761	437	$535.00	$127.49
99213 Established patient office or other outpatient visit, typically 15 minutes	1,564	339	$364.00	$89.85
80307 Testing for presence of drug, by chemistry analyzers	171	167	$400.00	$61.09
J1885 Injection, ketorolac tromethamine, per 15 mg	126	61	$30.00	$0.45
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	91	56	$50.00	$1.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	59	59	$833.00	$160.61
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	57	47	$1783.16	$140.27
64636 Destruction of lower or sacral spinal facet joint nerves with imaging guidance	51	25	$1949.80	$90.87
95886 Needle measurement of electrical activity in arm or leg muscles, complete study	45	42	$416.00	$188.58
95913 Nerve conduction, 13 or more studies	41	39	$1504.00	$289.31
64635 Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint	31	25	$4631.87	$321.90
62321 Injection of substance into middle or upper spine canal using imaging guidance	26	20	$576.00	$110.32
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	25	22	$1710.00	$123.73
64494 Injection of lower or sacral spine facet joint using imaging guidance, second level	25	22	$1104.00	$75.73
62323 Injection of substance into lower spine canal using imaging guidance	22	19	$524.00	$97.70
27096 Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance	21	19	$1129.33	$99.39
64490 Injection of upper or middle spine facet joint using imaging guidance, single level	20	12	$1465.95	$132.79
20610 Aspiration and/or injection of fluid from large joint	19	16	$325.26	$67.25
64491 Injection of upper or middle spine facet joint using imaging guidance, second level	18	11	$800.00	$72.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	2,310	420	$364.00	$72.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,362	424	$535.00	$107.11
80307 Testing for presence of drug, by chemistry analyzers	174	160	$400.00	$60.69
J1885 Injection, ketorolac tromethamine, per 15 mg	158	69	$30.00	$0.56
64636 Destruction of lower or sacral spinal facet joint nerves with imaging guidance	76	31	$1622.44	$78.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	55	55	$833.00	$165.14
95886 Needle measurement of electrical activity in arm or leg muscles, complete study	50	47	$416.00	$181.50
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	46	36	$1481.41	$131.27
95913 Nerve conduction, 13 or more studies	44	42	$1504.00	$298.75
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	40	28	$50.00	$1.49
64635 Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint	32	31	$4560.68	$320.46
62323 Injection of substance into lower spine canal using imaging guidance	30	26	$524.00	$98.98
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	26	24	$1680.77	$125.54
64495 Injection of lower or sacral spine facet joint using imaging guidance, third and any additional level	25	24	$1008.00	$75.54
64494 Injection of lower or sacral spine facet joint using imaging guidance, second level	25	24	$1008.00	$74.60
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	21	21	$1030.00	$209.35
64492 Injections of upper or middle spine facet joint using imaging guidance	19	12	$947.37	$76.44
64491 Injection of upper or middle spine facet joint using imaging guidance, second level	19	12	$947.37	$75.62
64490 Injection of upper or middle spine facet joint using imaging guidance, single level	19	12	$1596.32	$132.12
64484 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level	15	14	$720.00	$60.17
62321 Injection of substance into middle or upper spine canal using imaging guidance	13	11	$576.00	$104.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	2,266	507	$535.00	$104.78
99213 Established patient office or other outpatient visit, typically 15 minutes	1,371	363	$364.00	$72.18
80307 Testing for presence of drug, by chemistry analyzers	1,144	457	$400.00	$62.92
J1885 Injection, ketorolac tromethamine, per 15 mg	354	140	$30.00	$0.51
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	156	76	$50.00	$1.50
64636 Destruction of lower or sacral spinal facet joint nerves with imaging guidance	111	57	$1836.50	$84.77
95886 Needle measurement of electrical activity in arm or leg muscles, complete study	109	76	$457.98	$131.68
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	107	107	$1030.00	$206.23
95913 Nerve conduction, 13 or more studies	70	63	$1504.00	$290.94
64635 Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint	64	59	$4266.44	$304.40
64490 Injection of upper or middle spine facet joint using imaging guidance, single level	51	40	$1466.94	$126.92
64491 Injection of upper or middle spine facet joint using imaging guidance, second level	51	40	$870.59	$71.97
64492 Injections of upper or middle spine facet joint using imaging guidance	49	38	$857.14	$71.93
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	48	48	$1781.25	$130.31
64494 Injection of lower or sacral spine facet joint using imaging guidance, second level	47	47	$1123.40	$76.62
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	44	38	$1680.00	$138.92
64495 Injection of lower or sacral spine facet joint using imaging guidance, third and any additional level	42	42	$1088.57	$77.17
64634 Destruction of upper or middle spinal facet joint nerves with imaging guidance	39	16	$1488.48	$82.24
20610 Aspiration and/or injection of fluid from large joint	32	26	$309.00	$59.96
62323 Injection of substance into lower spine canal using imaging guidance	28	25	$524.00	$95.68
27096 Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance	25	23	$1118.04	$98.22
62321 Injection of substance into middle or upper spine canal using imaging guidance	24	21	$576.00	$105.20
64484 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level	22	22	$872.73	$65.29
64633 Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint	21	16	$3424.61	$266.65
95912 Nerve conduction, 11-12 studies	15	14	$1297.00	$258.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,384	410	$535.00	$102.76
80307 Testing for presence of drug, by chemistry analyzers	1,286	397	$400.00	$69.34
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	574	212	$717.00	$140.95
99213 Established patient office or other outpatient visit, typically 15 minutes	312	218	$364.00	$70.80
95886 Needle measurement of electrical activity in arm or leg muscles, complete study	173	77	$416.00	$89.72
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	108	108	$1030.00	$202.34
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	102	29	$50.00	$1.76
J1885 Injection, ketorolac tromethamine, per 15 mg	89	48	$30.00	$0.57
95913 Nerve conduction, 13 or more studies	65	57	$1504.00	$299.82
99358 Prolonged patient service without direct patient contact first hour	50	50	$300.00	$112.29
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	32	31	$1624.22	$134.40
64636 Destruction of lower or sacral spinal facet joint nerves with imaging guidance	27	16	$1915.14	$88.01
64484 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level	26	24	$807.69	$60.76
95912 Nerve conduction, 11-12 studies	23	22	$1297.00	$259.65
62323 Injection of substance into lower spine canal using imaging guidance	20	14	$524.00	$101.47
20610 Aspiration and/or injection of fluid from large joint	20	16	$309.00	$61.13
64635 Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint	16	16	$4560.68	$324.42
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	15	15	$1900.00	$133.59
64494 Injection of lower or sacral spine facet joint using imaging guidance, second level	14	14	$1200.00	$79.87
64495 Injection of lower or sacral spine facet joint using imaging guidance, third and any additional level	14	14	$1200.00	$80.87
64491 Injection of upper or middle spine facet joint using imaging guidance, second level	13	12	$1015.38	$83.13
64490 Injection of upper or middle spine facet joint using imaging guidance, single level	13	12	$1710.92	$145.28
64492 Injections of upper or middle spine facet joint using imaging guidance	12	11	$1000.00	$83.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	1,197	296	$717.00	$138.30
80307 Testing for presence of drug, by chemistry analyzers	886	247	$400.00	$77.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	262	150	$543.34	$102.55
95886 Needle measurement of electrical activity in arm or leg muscles, complete study	103	44	$416.00	$87.91
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	97	18	$50.00	$1.72
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	76	76	$1030.00	$205.37
99358 Prolonged patient service without direct patient contact first hour	65	64	$300.00	$107.49
63650 Implantation of spinal neurostimulator electrodes, accessed through the skin	57	17	$4811.53	$308.43
95913 Nerve conduction, 13 or more studies	43	36	$1504.00	$293.11
J1885 Injection, ketorolac tromethamine, per 15 mg	28	14	$30.00	$0.66
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	24	22	$1973.13	$147.02
64491 Injection of upper or middle spine facet joint using imaging guidance, second level	23	17	$808.70	$67.35
64490 Injection of upper or middle spine facet joint using imaging guidance, single level	23	17	$1362.65	$118.12
64492 Injections of upper or middle spine facet joint using imaging guidance	23	17	$808.70	$68.10
20610 Aspiration and/or injection of fluid from large joint	21	15	$309.00	$58.79
62323 Injection of substance into lower spine canal using imaging guidance	20	17	$524.00	$97.90
63685 Insertion of spinal neurostimulator pulse generator or receiver	20	19	$3300.00	$234.27
95972 Electronic analysis of implanted neurostimulator generator with complex spinal cord or peripheral nerve stimulator programming	18	13	$554.00	$42.50
64494 Injection of lower or sacral spine facet joint using imaging guidance, second level	14	13	$985.71	$70.13
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	14	13	$1560.71	$121.42

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License FL ME121364

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Pain Medicine - Pain Medicine

NUCC Taxonomy Code: 208VP0000X

State License OH 35084603

Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient's pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2495867 (OH)

Hospital & Practice Group Affiliations

Tampa Pain Relief Center Inc

325 Waymont Court, Lake Mary, FL 327463572

Phone: 4075850263

Tampa Pain Relief Center Inc

2333 W Hillsborough Ave, Tampa, FL 336031059

Phone: 8138724492

Tampa Pain Relief Center Inc

403 S Kings Ave, Brandon, FL 335115962

Phone: 8138724492

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

13 Associated Practitioners

Kimberly Ristau , ARNP

Nurse Practitioner - Adult Health

NPI 1023274727

Advanced Registered Nurse Practitioner

Dr. Robert Guirguis , DO

Physical Medicine & Rehabilitation - Pain Medicine

NPI 1134170038

Doctor of Osteopathic Medicine (D.O.)

Mahin Sharifi

Physician Assistant

NPI 1215250246

Dr. Jose Rivera , MD

Pain Medicine - Interventional Pain Medicine

NPI 1215919485

Doctor of Medicine (M.D.)

Nicole Cheremond , NURSE PRACTITIONER

Nurse Practitioner - Family

NPI 1326358144

NURSEPRACTITIONER

Martha Clapp , APRN

Nurse Practitioner - Family

NPI 1326715145

Advanced Practice Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

📍

Updated Business Mailing Address September 05, 2019

Registered at 403 S KINGS AVE STE 201, BRANDON, FL 335115962 (Tel: 8138724492)

📍

Updated Practice Location July 30, 2018

Registered at 403 S KINGS AVE STE 201, BRANDON, FL 33511 (Tel: 8138724492)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 30, 2018

Pain Medicine (License #35084603 in OH)

✅

NPI Profile Active December 14, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location December 14, 2015

Registered at 427 S PARSONS AVE STE 114, BRANDON, FL 335115252 (Tel: 8138724492)

📍

Updated Business Mailing Address December 14, 2015

Registered at 427 S PARSONS AVE STE 114, BRANDON, FL 335115252 (Tel: 8138724492)

👤

Provider Name / Credentials Updated December 14, 2015

Recorded as BRUCE PISZEL, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 14, 2015

Specialist (License #ME121364 in FL)

🟢

Initial NPI Registration & Enumeration September 26, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1467553966

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 26, 2006

Last Update: September 05, 2019

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

403 S Kings Ave Ste 201

Brandon, FL 335115962

Phone: 8138724492

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.