Provider Demographics
NPI:1396912663
Name:BAYAREAREHABILITATIONCENTER,INC.
Entity type:Organization
Organization Name:BAYAREAREHABILITATIONCENTER,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:P
Authorized Official - Last Name:ESPOSITO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:813-888-7044
Mailing Address - Street 1:7219 BENJAMIN RD
Mailing Address - Street 2:UNIT D
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33634-3012
Mailing Address - Country:US
Mailing Address - Phone:813-888-7044
Mailing Address - Fax:813-888-8081
Practice Address - Street 1:7219 BENJAMIN RD
Practice Address - Street 2:UNIT D
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33634-3012
Practice Address - Country:US
Practice Address - Phone:813-888-7044
Practice Address - Fax:813-888-8081
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-14
Last Update Date:2008-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8326261QM1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty