Provider Demographics
NPI:1093812281
Name:TRANSATLANTIC HEALTHCARE, LLC
Entity type:Organization
Organization Name:TRANSATLANTIC HEALTHCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER RELATIONS
Authorized Official - Prefix:MS
Authorized Official - First Name:SUMMAR
Authorized Official - Middle Name:P
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-386-4170
Mailing Address - Street 1:5110 EISENHOWER BLVD STE 340 B
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33634-6354
Mailing Address - Country:US
Mailing Address - Phone:813-386-4170
Mailing Address - Fax:813-386-4175
Practice Address - Street 1:5110 EISENHOWER BLVD STE 340 B
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33634-6354
Practice Address - Country:US
Practice Address - Phone:813-386-4170
Practice Address - Fax:813-386-4175
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL302F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization