Provider Demographics
NPI:1568169977
Name:TAMPA BAY THERAPY CARE INC
Entity Type:Organization
Organization Name:TAMPA BAY THERAPY CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALFREDO
Authorized Official - Middle Name:
Authorized Official - Last Name:PEREZ JIMENEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-999-3081
Mailing Address - Street 1:4023 N ARMENIA AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607-1013
Mailing Address - Country:US
Mailing Address - Phone:813-405-4357
Mailing Address - Fax:813-405-4387
Practice Address - Street 1:3207 TARABROOK DR
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33618-2538
Practice Address - Country:US
Practice Address - Phone:813-405-4357
Practice Address - Fax:813-405-4387
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-15
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center