Provider Demographics
NPI:1033312327
Name:TAMPA BAY THERAPY CENTERS
Entity Type:Organization
Organization Name:TAMPA BAY THERAPY CENTERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:LEMUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:FELIPE
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:813-877-6714
Mailing Address - Street 1:8206 LA SERENA DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33614-2756
Mailing Address - Country:US
Mailing Address - Phone:813-877-6714
Mailing Address - Fax:813-877-7478
Practice Address - Street 1:3104 W WATERS AVE
Practice Address - Street 2:SUITE 203
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614-2800
Practice Address - Country:US
Practice Address - Phone:813-877-6714
Practice Address - Fax:813-877-7478
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 2058111N00000X
FLME 456884207Q00000X
FLMA 33112225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Not Answered207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Not Answered225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty