Provider Demographics
NPI:1144556374
Name:TAMPA TRANSPLANT INSTITUTE PL
Entity type:Organization
Organization Name:TAMPA TRANSPLANT INSTITUTE PL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CEDRIC
Authorized Official - Middle Name:D
Authorized Official - Last Name:SHEFFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:813-402-0654
Mailing Address - Street 1:PO BOX 172008
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33672
Mailing Address - Country:US
Mailing Address - Phone:813-402-0654
Mailing Address - Fax:813-402-0661
Practice Address - Street 1:5 TAMPA GENERAL CIRCLE
Practice Address - Street 2:#725
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33606
Practice Address - Country:US
Practice Address - Phone:813-402-0654
Practice Address - Fax:813-402-0661
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-22
Last Update Date:2013-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME83774208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)Group - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL263484800Medicaid
FLE88261Medicare UPIN