Tampa Bay Brace and Limb Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

POR161 Issued in FL

Legal business name

TAMPA BAY BRACE AND LIMB INC

Doing business as

Clearwater Limb & Brace

Practice address

516 Lakeview Rd Villa1
Clearwater, FL 33756-9999

Phone

(727) 449-9292

Fax

(727) 449-9393

NPI assigned

Aug 5, 2007

Last updated

Apr 20, 2008By 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

Lori Bailey

Title

Administrator

Phone

(727) 449-9292

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• CLEARWATER LIMB & BRACE Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark P Logue, CPO

  • Specialist
  • Clearwater, FL
  • NPI 1669685301
  NPD (past)

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1447441449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 LAKEVIEW RD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563302",
            "telephone_number": "727-449-9292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 LAKEVIEW RD VILLA1",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337569999",
            "telephone_number": "727-449-9292",
            "fax_number": "727-449-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMPA BAY BRACE AND LIMB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "727-449-9292"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "FL",
            "license": "POR161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERSAL HEALTH CARE",
            "identifier": "00124",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "M0692",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "186747",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLEARWATER LIMB & BRACE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gina R Tamargo, NP
• Tamatha J Brown PLLC (Balance & Boundaries Wellness)
• Nishin S Tambay, MD
• Agostina Tambucho
• Mark Robert Tamburrino, L.AC.
• Tampa Bay Joint and Spine, LLC (Tampa Bay Joint and Spine Surgery Center)
• Tampa Bay Neurocognitive Institute PLLC (Tampa Bay Neurocognitive Institute)
• Tampa Bay Ophthalmic Plastics LLC
• Tampa Bay Optometric Group PA
• Tampa Bay Orthopaedic & Spine, LLC

• Prosthetic/Orthotic Supplier in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Prosthetic/Orthotic Supplier in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.