Ideal Body Institute Tampa ASC LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

IDEAL BODY INSTITUTE TAMPA ASC LLC

Doing business as

IBI Healthcare ASC

Practice address

5931 Webb Rd
Tampa, FL 33615-3219

Phone

(678) 466-6760

Fax

(678) 802-7042

NPI assigned

Apr 12, 2022

Last updated

Apr 20, 2022By 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

Mr. Maxwell Bempah

Title

Coo

Phone

(678) 466-6760

Specialties & licenses 1

Addresses

Other names 1

• IBI Healthcare ASC Doing business as

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

{
    "created_epoch": "1649721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650412800000",
    "number": "1144962960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "367 ATHENS HWY STE 100",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300522207",
            "telephone_number": "678-466-6760",
            "fax_number": "678-802-7094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5931 WEBB RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336153219",
            "telephone_number": "678-466-6760",
            "fax_number": "678-802-7042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL BODY INSTITUTE TAMPA ASC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-12",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A",
        "authorized_official_last_name": "BEMPAH",
        "authorized_official_first_name": "MAXWELL",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "678-466-6760",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IBI Healthcare ASC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "IBI Healthcare ASC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amy Michelle Ice, MA, CRC
• Tara Marie Ice, NNP
• Reem Ichoa, DO
• Icp Holdings, LLC (Carrollwood Compounding Center)
• Idea Public Schools Florida (IDEA Florida, INC)
• Ideal Body Institute Tampa, LLC
• Ideal Dental Carrollwood PLLC
• Ideal Dental of Westchase Florida PLLC
• Ideal Dentistry
• Ideal Health and Wellness Center LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.