Support Associates of Tampa Bay, Inc

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

SUPPORT ASSOCIATES OF TAMPA BAY, INC

Practice address

16112 N Florida Ave
Lutz, FL 33549-6129

Phone

(813) 908-6773

Fax

(813) 908-0423

NPI assigned

Sep 3, 2014

Last updated

Sep 3, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lynda R Debenedet

Title

Co Owner

Phone

(813) 908-6773

Specialties & licenses 1

Addresses

Other identifiers 2

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1409702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409702400000",
    "number": "1053711598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16112 N FLORIDA AVE",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335496129",
            "telephone_number": "813-908-6773",
            "fax_number": "813-908-0423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16112 N FLORIDA AVE",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335496129",
            "telephone_number": "813-908-6773",
            "fax_number": "813-908-0423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORT ASSOCIATES OF TAMPA BAY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-03",
        "last_updated": "2014-09-03",
        "status": "A",
        "authorized_official_last_name": "DEBENEDET",
        "authorized_official_first_name": "LYNDA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "813-908-6773"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "678755096",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002353400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Suncoast Ur Inc
• Sunlake Pain Management, LLC (Sunlake Medical Associates)
• Sunny Side Up Therapy and Consulting, LLC
• Sunshine Family Psych & Wellness LLC
• Sunshine Primary Care LLC
• Supported Employment and Living Facilitators, Inc. (SELF, Inc.)
• Neil Hans Surti, M.D.
• Subatha Suthakaran
• Samantha Elisabeth Sutton
• Tyler-Lawrence E Sutton

• Case Management Agency in Lutz, FL
• Providers in Lutz, FL by specialty
• Case Management Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.