OrganizationActive
Manjul Derasari M.d.,p.a.
NPI 1407915929 · Specialist · Tampa, FL
Provider details
- NPI number
- 1407915929
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Manjul Derasari, Medical Director(813) 933-5900
- License
- ME54111 (FL)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1912 E Busch Blvd
Tampa, FL 33612-8666
Phone: (813) 933-5900
Fax: (813) 935-9687
Street-level locationGet directions
Mailing address
1912 E Busch Blvd
Tampa, FL 33612-8666
Registry dates
- Enumerated
- 2006-12-08
- Last updated
- 2013-12-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.