TAMPA BAY REHABILITATION CENTER INC


Address: 607 W Martin Luther King Blvd, Suite #101, Tampa, FL 33603
Phone: 8132310695

TAMPA BAY REHABILITATION CENTER INC (NPI# 1881126654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881126654
Entity Type Organization
Organization Name TAMPA BAY REHABILITATION CENTER INC
Practice Address 607 W Martin Luther King Blvd
Suite #101
Tampa
FL 33603
Practice Telephone 8132310695
Practice Fax Number 8132310353
Mailing Telephone 8132310695
Mailing Fax Number 8132310353
Enumeration Date 2017-03-31
Last Update Date 2017-03-31
Authorized Official Name YOSVANY MORAN (OWNER)
Authorized Official Telephone 8138627155
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QH0100X Clinic/Center
Specialization: Health Service
HCC10970 FL Ambulatory Health Care Facilities

Office Location

Street Address 607 W MARTIN LUTHER KING BLVD
SUITE #101
City TAMPA
State FL
Zip Code 33603

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NPI Name Taxonomy Address Enumeration
1487908893 Spine Injury Physicians LLC Neurological Surgery 607 W Martin Luther King Blvd, Suite 1, Tampa, FL 33603 2012-11-07

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NPI Name Taxonomy Address Enumeration
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1700366010 Marie A Brister Md LLC Family Medicine 508 W Dr Martin Luther King Jr Blvd Ste A, Tampa, FL 33603 2018-08-16
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1306213194 Jacqueline Dowgiallo Case Manager/Care Coordinator 4004 N Riverside Dr, Tampa, FL 33603 2015-08-27
1629487061 Robin Ann Waters Social Worker 1016 W Hillsborough Ave, Tampa, FL 33603 2014-08-11
1831430453 Cassandra Gonzalez Social Worker 1726 W Rio Vista Ave, Tampa, FL 33603 2013-03-06
1861742124 Joseph Timothy Candelore Jr. Internal Medicine 2333 W Hillsborough Ave Ste 160, Tampa, FL 33603 2012-09-14
1679835599 Odessa Biandudi Dentist 825 West Martin Luther King Boulevard, Tampa, FL 33603 2012-06-15
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Taxonomy Information

Taxonomy Code 261QH0100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Health Service

Taxonomy Definition

Definition to come...
Notes: [7/1/2006: modified title]

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1720599137 United States Management Clinic/Center 1419 W Waters Ave Ste 105, Tampa, FL 33604-2896 2017-10-12
1891240693 Nuessence LLC Clinic/Center 18001 Malakai Isle Dr, Tampa, FL 33647-2991 2016-08-22
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1134539273 Lotus Path Wellness Center Clinic/Center 3642 Madaca Ln, Tampa, FL 33618-2057 2014-04-29
1689091050 Dcreasequeen, Inc. Clinic/Center 11634 Bristol Chase Dr, Tampa, FL 33626-3300 2014-03-24
1790127249 Ferrer Medical Center Clinic/Center 8313 W Hillsborough Ave Ste 260, Tampa, FL 33615-3818 2013-07-25
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Competitor

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City TAMPA
Zip Code 33603

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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