Tampa Bay Cryo

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

TAMPA BAY CRYO

Practice address

6287 Bahia del Mar Cir Apt 405
St Petersburg, FL 33715-1067

Phone

(914) 435-3333

NPI assigned

Nov 14, 2022

Organization subpart

No

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

Authorized official

Name

Jenna Gallace

Title

Owner

Phone

(914) 435-3333

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1668384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668384000000",
    "number": "1649988064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6287 BAHIA DEL MAR CIR APT 405",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337151067",
            "telephone_number": "914-435-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6287 BAHIA DEL MAR CIR APT 405",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337151067",
            "telephone_number": "914-435-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMPA BAY CRYO",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-14",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A",
        "authorized_official_last_name": "GALLACE",
        "authorized_official_first_name": "JENNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-435-3333"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.