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Contact Information

CEREBRUM HEALTHCARE LLC
3225 S MACDILL AVE STE 129-300
TAMPA, FL33629-8171
 Phone: 813-441-6803
 Fax: 813-524-6352
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
 

Primary Care

363LP2300X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for CEREBRUM HEALTHCARE LLC

NPI Number 1255849055
LBN Legal business name CEREBRUM HEALTHCARE LLC
Authorized official BHAVIN PATIDAR - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 01/15/2018
Last updated 02/10/2026 - About 4 months ago
Identifiers
FL Medicaid 011056550
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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