Tampa Bay Services Group LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

TAMPA BAY SERVICES GROUP LLC

Practice address

8313 W Hillsborough Ave Ste 110
Tampa, FL 33615-3819

Phone

(813) 382-1172

Fax

(813) 801-3044

NPI assigned

Feb 10, 2021

Organization subpart

No

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

Authorized official

Name

Ismary Padron

Title

Ceo

Phone

(813) 382-1172

Specialties & licenses 6

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1612915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647302400000",
    "number": "1104418169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8313 W HILLSBOROUGH AVE STE 110",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336153819",
            "telephone_number": "813-382-1172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8313 W HILLSBOROUGH AVE STE 110",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336153819",
            "telephone_number": "813-382-1172",
            "fax_number": "813-801-3044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMPA BAY SERVICES GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-10",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A",
        "authorized_official_last_name": "PADRON",
        "authorized_official_first_name": "ISMARY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "813-382-1172"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109675200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tampa Bay Relationship Recovery Center LLC.
• Tampa Bay Renal LLC
• Tampa Bay Respiratory Services Corp
• Tampa Bay Seniors Services LLC
• Tampa Bay Services Group LLC
• Tampa Bay Speech Services, LLC
• Tampa Bay Spine Institute, Inc.
• Tampa Bay Staffing Solutions Inc
• Tampa Bay Surgery Center Anesthesia Associates, LLC
• Tampa Bay Surgery Center Anesthesia Associates,LLC

• Clinic/Center in Tampa, FL
• Providers in Tampa, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; 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.