Provider Demographics
NPI:1164892535
Name:BAY AREA CONSULTANTS LLC
Entity Type:Organization
Organization Name:BAY AREA CONSULTANTS LLC
Other - Org Name:BAC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:ELONA
Authorized Official - Middle Name:
Authorized Official - Last Name:BICAKU
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:813-368-3586
Mailing Address - Street 1:2210 ASHLEY OAKS CIRCLE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33544
Mailing Address - Country:US
Mailing Address - Phone:813-618-5867
Mailing Address - Fax:813-433-2545
Practice Address - Street 1:2210 ASHLEY OAKS CIR
Practice Address - Street 2:SUITE 101
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33544-6404
Practice Address - Country:US
Practice Address - Phone:813-618-5867
Practice Address - Fax:813-433-2545
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-29
Last Update Date:2015-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty