Organization Active NPI

Blue Sea Rehabilitation Center, Inc.

  • Clinic/Center
  • Tampa, FL
National Provider Identifier
1386422541
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
BLUE SEA REHABILITATION CENTER, INC.
Practice address
3750 Gunn Hwy Ste 201
Tampa, FL 33618-8914
Phone
(813) 415-2335
Fax
(813) 415-2003
NPI assigned
Sep 19, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2024

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

Authorized official

Name
Ms. Hany D Garbey Machin
Title
Owner
Phone
(813) 997-9977

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary
Rehabilitation Clinic/Center 261QR0400X

Addresses

Primary practice location

3750 Gunn Hwy Ste 201
Tampa, FL 33618-8914

Mailing address

3750 Gunn Hwy Ste 201
Tampa, FL 33618-8914
Phone (813) 415-2335

National Provider Directory

National Provider Directory

Locations

3750 Gunn Hwy
Ste 201
Tampa, FL 33618
Phone (813) 415-2335

NPI Registry JSON

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

{
    "created_epoch": "1695081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715904000000",
    "number": "1386422541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 GUNN HWY STE 201",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336188914",
            "telephone_number": "813-415-2335",
            "fax_number": "813-415-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 GUNN HWY STE 201",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336188914",
            "telephone_number": "813-415-2335",
            "fax_number": "813-415-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE SEA REHABILITATION CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-19",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A",
        "authorized_official_last_name": "GARBEY MACHIN",
        "authorized_official_first_name": "HANY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-997-9977",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2024; 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.