Provider Demographics
NPI:1467291153
Name:SPT CONSULTING, PLLC
Entity type:Organization
Organization Name:SPT CONSULTING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:SHAIVAL
Authorized Official - Middle Name:PRADIP
Authorized Official - Last Name:THAKORE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:813-766-8753
Mailing Address - Street 1:13046 RACE TRACK RD # 212
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33626-1302
Mailing Address - Country:US
Mailing Address - Phone:813-766-8753
Mailing Address - Fax:
Practice Address - Street 1:17863 HUNTING BOW CIR STE 101
Practice Address - Street 2:
Practice Address - City:LUTZ
Practice Address - State:FL
Practice Address - Zip Code:33558-5395
Practice Address - Country:US
Practice Address - Phone:813-766-8753
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-22
Last Update Date:2024-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty