Active NPI
Bayshore Nutrition LLC
- Registered Dietitian
- Tampa, FL
National Provider Identifier
1083569891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- BAYSHORE NUTRITION LLC
- Practice address
- 16904 Tacopa CT
Tampa, FL 33618-1135 - Phone
- (727) 514-3598
- NPI assigned
- Feb 27, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brooke Sobh, RD
- Title
- Owner / Dietitian
- Phone
- (727) 514-3598
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
16904 Tacopa CT
Tampa, FL 33618-1135
Mailing address
16904 Tacopa CT
Tampa, FL 33618-1135
Phone (727) 514-3598
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1772150400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1772150400000",
"number": "1083569891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16904 TACOPA CT",
"city": "TAMPA",
"state": "FL",
"postal_code": "336181135",
"telephone_number": "727-514-3598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16904 TACOPA CT",
"city": "TAMPA",
"state": "FL",
"postal_code": "336181135",
"telephone_number": "727-514-3598"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAYSHORE NUTRITION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-02-27",
"last_updated": "2026-02-27",
"certification_date": "2026-02-27",
"status": "A",
"authorized_official_last_name": "SOBH",
"authorized_official_first_name": "BROOKE",
"authorized_official_title_or_position": "OWNER / DIETITIAN",
"authorized_official_telephone_number": "727-514-3598",
"authorized_official_credential": "RD"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
- Kiara Michelle Bayron
- Darlene Edillor Baysa, ARNP
- Bayshore Geriatric Solutions, Inc.
- Bayshore Home Health Care, Inc.
- Bayshore Medical Group P L
- Bayshore Orthodontics PLLC
- Bayshore Pediatric Dentistry and Orthodontics PLLC
- Bayshore Podiatry Center
- Bayshore Podiatry Center Inc (Bayshore Podiatry Center)
- Bayside Breeze Therapy LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.