BAIN DE VIE CORY LAKE ISLE LLC (NPI# 1891053294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891053294 |
| Entity Type | Organization |
| Organization Name | BAIN DE VIE CORY LAKE ISLE LLC |
| Practice Address |
10311 Cross Creek Blvd Suite E Tampa FL 33647-2989 |
| Practice Telephone | 8139079898 |
| Practice Fax Number | 8139070220 |
| Mailing Telephone | 8139079898 |
| Mailing Fax Number | 8139070220 |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2012-04-24 |
| Authorized Official Name | DR. TIMOTHY FILMORE BAIN (PRESIDENT) |
| Authorized Official Telephone | 8139079898 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH8562 | FL | Chiropractic Providers |
| Street Address |
10311 CROSS CREEK BLVD SUITE E |
| City | TAMPA |
| State | FL |
| Zip Code | 33647-2989 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285610915 | Michele D. Pescasio | Family Medicine | 10311 Cross Creek Blvd, Suite E, Tampa, FL 33647-2989 | 2005-12-15 |
| 1053798686 | Bain Complete Wellness LLC | Chiropractor | 10311 Cross Creek Blvd, Tampa, FL 33647-2989 | 2015-05-04 |
| 1821491168 | Bain Complete Wellness LLC | Chiropractor | 10311 Cross Creek Blvd, Suite E, Tampa, FL 33647-2989 | 2014-10-01 |
| 1437585551 | Bain Family Chiropractic Inc | Chiropractor | 10311 Cross Creek Blvd, Suite E, Tampa, FL 33647-2989 | 2013-09-20 |
| 1639408149 | Heather Allred | Physical Therapist | 10311 Cross Creek Blvd, Suite E, Tampa, FL 33647 | 2009-12-11 |
| 1114116787 | Bain Family Chiropractic Inc. | Chiropractor | 10311 Cross Creek Blvd, Suite E, Tampa, FL 33647-2989 | 2007-10-19 |
| 1538388566 | Timothy Fillmore Bain | Chiropractor | 10311 Cross Creek Blvd, Suite E, Tampa, FL 33647-2989 | 2007-04-25 |
| 1396871505 | Vipul R. Shah Md Pa | Internal Medicine | 10311 Cross Creek Blvd, Suite B, Tampa, FL 33647-2989 | 2007-02-24 |
| 1982746962 | Jaydeep Patel Md Pa | Clinic/Center | 10311 Cross Creek Blvd, Suite D, Tampa, FL 33647-2989 | 2007-02-13 |
| 1922164102 | Kenneth Wayne Hammon | Chiropractor | 10311 Cross Creek Blvd, Ste E, Tampa, FL 33647-2989 | 2006-12-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558972935 | Innovative Healthcare of Florida, Inc. | Home Health | 8903 Bruce B Downs Blvd, Tampa, FL 33647 | 2020-08-11 |
| 1093331498 | Envision In-home Companion Svcs | Home Health | 8903 Bruce B. Downs Blvd, Suite #140, Tampa, FL 33647 | 2020-06-22 |
| 1538788344 | Deanna Rene Shelpman | Massage Therapist | 15443 Plantation Oaks Dr, Apt 13, Tampa, FL 33647 | 2020-04-11 |
| 1316598998 | Paramount Health Group LLC | In Home Supportive Care | 17425 Bridge Hill Crt. Unit 200b, Tampa, FL 33647 | 2019-09-24 |
| 1174185656 | S&k Management Services | Clinical Nurse Specialist | 19046 Bruce B. Downs Blvd, Ste 177, Tampa, FL 33647 | 2019-07-03 |
| 1760040133 | Calisia Sapp | Clinic/Center | 19046 Bruce B Downs Blvd Ste B6-703, Tampa, FL 33647 | 2019-05-31 |
| 1306400106 | B2b Apps Solutions, LLC | Durable Medical Equipment & Medical Supplies | 17931 Cachet Isle Drive, Tampa, FL 33647 | 2019-04-26 |
| 1376000919 | Florida Homecare Specialists Minority Corp | Home Health | 5331 Primrose Lake Circle Unit 116, Tampa, FL 33647 | 2019-03-01 |
| 1982188157 | Dynamic Support Solutions, LLC | Home Health | 8606 Baneberry Ct, Tampa, FL 33647 | 2018-09-24 |
| 1982197430 | Erika Mendoza-hutto | Nurse Practitioner | 20713 Center Oak Dr, Tampa, FL 33647 | 2018-06-10 |
| Find all providers in zip 33647 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538791082 | Champion Wellness Center of The Heights | Chiropractor | 800 W Martin Luther King Jr Blvd, Suite 3, Tampa, FL 33603 | 2020-02-12 |
| 1780215798 | Rachel Emma Marr | Chiropractor | 2901 W Busch Blvd Ste 910, Tampa, FL 33618-4573 | 2020-01-29 |
| 1023648656 | Dia Laurencia Carter | Chiropractor | 106 S Armenia Ave, Tampa, FL 33609-3308 | 2020-01-23 |
| 1205466455 | Grant Elliott | Chiropractor | 317 N Dale Mabry Hwy, Tampa, FL 33609-1238 | 2020-01-16 |
| 1740810860 | Mikkel Bahamondes | Chiropractor | 5830 Memorial Hwy Apt 1401, Tampa, FL 33615-5064 | 2020-01-16 |
| 1912548355 | Az Medical Center, LLC | Chiropractor | 3911 W Waters Ave Ste 13, Tampa, FL 33614-1950 | 2019-10-07 |
| 1710530977 | Jonathan Moukhtafi | Chiropractor | 16210 Saint Michelle Ct, Tampa, FL 33647-5100 | 2019-07-17 |
| 1215599014 | Christopher Bush | Chiropractor | 12233 N Florida Ave Ste 200, Tampa, FL 33612-4270 | 2019-07-01 |
| 1396220562 | Jesse Law | Chiropractor | 110 S Manhattan Ave Apt 68, Tampa, FL 33609-3877 | 2018-10-03 |
| 1750875399 | Alex Lambert Holdings, Pllc | Chiropractor | 1623 E 4th Ave, Unit 106, Tampa, FL 33605 | 2018-06-18 |
| Find all providers in TAMPA | ||||
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| 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.