Provider Demographics
NPI:1942530076
Name:BETTER HEALTH OF TAMPA BAY, L.L.C.
Entity Type:Organization
Organization Name:BETTER HEALTH OF TAMPA BAY, L.L.C.
Other - Org Name:BETTER HEALTH OF TAMPA BAY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:TABITHA
Authorized Official - Middle Name:
Authorized Official - Last Name:EISENBEIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-514-4885
Mailing Address - Street 1:13309 WINDING OAK CT
Mailing Address - Street 2:SUITE B
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33612-3431
Mailing Address - Country:US
Mailing Address - Phone:813-514-4885
Mailing Address - Fax:814-514-4887
Practice Address - Street 1:13309 WINDING OAK CT
Practice Address - Street 2:SUITE B
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33612-3431
Practice Address - Country:US
Practice Address - Phone:813-514-4885
Practice Address - Fax:814-514-4887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-13
Last Update Date:2010-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP2707171100000X
FLOS10216208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty