Resurgence Tampa Bay LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

RESURGENCE TAMPA BAY LLC

Practice address

3808 Gunn Hwy
Tampa, FL 33618-8757

Phone

(813) 600-5133

NPI assigned

Apr 30, 2020

Organization subpart

No

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

Authorized official

Name

Christina Sanchez Miller, MPH

Title

Cfo

Phone

(813) 600-5133

Specialties & licenses 4

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1588204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588204800000",
    "number": "1871114801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3808 GUNN HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336188757",
            "telephone_number": "813-600-5133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3808 GUNN HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336188757",
            "telephone_number": "813-600-5133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESURGENCE TAMPA BAY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-30",
        "last_updated": "2020-04-30",
        "certification_date": "2020-04-30",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ MILLER",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "813-600-5133",
        "authorized_official_credential": "MPH"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher G Restrepo, MD
• Gladys L. Restrepo, LMHC
• Isabel Restrepo, CNM
• Karyn Francy Restrepo, LCSW
• Stacey Restuccio
• Alexander Retana
• Sherry Neil Rethwisch, C.R.N.A.
• Retina Associates of Florida, P.a.
• Nicole Abdo Rettig, MD
• Krystin Michelle Reuter, BS

• Substance Abuse Rehabilitation Facility in Tampa, FL
• Providers in Tampa, FL by specialty
• Substance Abuse Rehabilitation Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.