Basic Information
Provider Information
NPI: 1508996083
EntityType: 2
ReplacementNPI:  
OrganizationName: HEALTHPOINT MEDICAL GROUP INC
LastName:  
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Mailing Information
Address1: PO BOX 10744
Address2:  
City: CLEARWATER
State: FL
PostalCode: 337578744
CountryCode: US
TelephoneNumber: 7275320002
FaxNumber: 7272664928
Practice Location
Address1: 300 PARK PLACE BLVD
Address2: SUITE 170
City: CLEARWATER
State: FL
PostalCode: 337594932
CountryCode: US
TelephoneNumber: 7275321355
FaxNumber: 7272664928
Other Information
ProviderEnumerationDate: 03/06/2007
LastUpdateDate: 01/06/2015
NPIDeactivationReasonCode:  
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AuthorizedOfficialLastName: CORRIGAN
AuthorizedOfficialFirstName: KEVIN
AuthorizedOfficialMiddleName: L.
AuthorizedOfficialTitleorPosition: CAO
AuthorizedOfficialTelephone: 7275321355
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: MR.
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NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000X  N193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansFamily Medicine 
207QS0010X  N193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine
207R00000X  N193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansInternal Medicine 
207RG0100X  N193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
207T00000X  N193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansNeurological Surgery 
207V00000X  N193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansObstetrics & Gynecology 
207VX0201X  N193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology
207XP3100X  N193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryPediatric Orthopaedic Surgery
2080P0207X  N193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology
2084P0800X  N193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
208600000X  N193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansSurgery 
2086S0120X  N193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansSurgeryPediatric Surgery
2086S0129X  N193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
208000000X  Y193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansPediatrics 

ID Information
IDTypeStateIssuerDescription
37710320105FL MEDICAID
37710321405FL MEDICAID
37710323505FL MEDICAID
37710323605FL MEDICAID
37710324205FL MEDICAID
37710321805FL MEDICAID
37710323805FL MEDICAID
37710324405FL MEDICAID
37710320805FL MEDICAID
37710322705FL MEDICAID
37710323905FL MEDICAID
37710321905FL MEDICAID
37710322005FL MEDICAID
37710322805FL MEDICAID
37710324105FL MEDICAID
37710324305FL MEDICAID
37710320305FL MEDICAID
37710322605FL MEDICAID
37710320005FL MEDICAID
37710320205FL MEDICAID
37710322905FL MEDICAID
37710323205FL MEDICAID
37710323705FL MEDICAID
37710321605FL MEDICAID
37710322205FL MEDICAID
37710323105FL MEDICAID
37710323405FL MEDICAID
37710324005FL MEDICAID
37710322505FL MEDICAID
37710323305FL MEDICAID


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