Provider Demographics
NPI:1629134374
Name:ALFIE ENTERPRISES INC
Entity Type:Organization
Organization Name:ALFIE ENTERPRISES INC
Other - Org Name:BAYWAY HEALTH & REHAB
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:L
Authorized Official - Last Name:BOND
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:727-865-8959
Mailing Address - Street 1:5101 BRITTANY DR S
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33715-1565
Mailing Address - Country:US
Mailing Address - Phone:727-865-8959
Mailing Address - Fax:727-865-8957
Practice Address - Street 1:5101 BRITTANY DR S
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33715-1565
Practice Address - Country:US
Practice Address - Phone:727-865-8959
Practice Address - Fax:727-865-8957
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL686647Medicare ID - Type Unspecified