Baim of Gilead Healthcare Services Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

BAIM OF GILEAD HEALTHCARE SERVICES INC.

Practice address

9804 N 26TH St
Tampa, FL 33612-8420

Phone

(813) 443-5028

NPI assigned

Jul 16, 2013

Last updated

Jul 16, 2013By 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

Byron Demetruis Roquemore, MOML,CAP,CCJAP

Title

Consultant

Phone

(813) 443-5028

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1373932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373932800000",
    "number": "1164863379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9804 N 26TH STREET",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33612",
            "telephone_number": "813-443-5028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9804 N 26TH ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336128420",
            "telephone_number": "813-443-5028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAIM OF GILEAD HEALTHCARE SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-16",
        "last_updated": "2013-07-16",
        "status": "A",
        "authorized_official_last_name": "ROQUEMORE",
        "authorized_official_first_name": "BYRON",
        "authorized_official_middle_name": "DEMETRUIS",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "813-443-5028",
        "authorized_official_credential": "MOML,CAP,CCJAP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marveina Virginia Bailey
• Melissa M Bailey, ARNP
• Sally Joan Bailey, R.N.
• Steven Morrell Bailey, MEDICAL DOCTOR
• Thomas Paul Bailey, PHARM.D.
• Isaac Baime, DPT
• Bain Complete Wellness LLC
• Bain Complete Wellness LLC (Complete Injury and Rehab)
• Bain Complete Wellness LLC
• Bain Complete Wellness LLC. (Bain Complete Wellness)

• Community/Behavioral Health Agency in Tampa, FL
• Providers in Tampa, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; 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.