Provider Demographics
NPI:1811200587
Name:BAYVIEW MEDICAL & REHAB CENTER, INC.
Entity Type:Organization
Organization Name:BAYVIEW MEDICAL & REHAB CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:SALIVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-873-1361
Mailing Address - Street 1:2123 W. MARTIN LUTHER KING JR. BLVD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607-6545
Mailing Address - Country:US
Mailing Address - Phone:813-873-1361
Mailing Address - Fax:813-873-1325
Practice Address - Street 1:2123 MARTIN LUTHER KING JR BLVD
Practice Address - Street 2:103
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607
Practice Address - Country:US
Practice Address - Phone:813-873-1361
Practice Address - Fax:813-873-1325
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL261QR0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)