B3 Sport LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH8562 Issued in FL

Legal business name

B3 SPORT LLC

Practice address

1868 Highland Oaks Blvd Ste B
Lutz, FL 33559-7413

Phone

(813) 574-2460

Fax

(813) 949-5001

NPI assigned

Dec 5, 2017

Last updated

Mar 17, 2018By 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

Dr. Timothy Bain, DC

Title

Owner

Phone

(813) 574-2460

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1512432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1942715552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1868 HIGHLAND OAKS BLVD STE B",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335597413",
            "telephone_number": "813-574-2460",
            "fax_number": "813-949-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1868 HIGHLAND OAKS BLVD STE B",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335597413",
            "telephone_number": "813-574-2460",
            "fax_number": "813-949-5001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13023 Summerfield Square Dr",
            "address_purpose": "LOCATION",
            "city": "Riverview",
            "state": "FL",
            "postal_code": "335787402",
            "country_code": "US",
            "telephone_number": "813-677-9500",
            "fax_number": "813-677-9511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10311 Cross Creek Blvd Ste E",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336472989",
            "country_code": "US",
            "telephone_number": "813-907-9898",
            "fax_number": "813-907-0220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2901 Busch Lake Blvd",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336141860",
            "country_code": "US",
            "telephone_number": "813-936-7979",
            "fax_number": "813-936-1600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "B3 SPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-05",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "BAIN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-574-2460",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Atlas Medical Services, Inc
• Randi Lee Austin
• Ramon Aviso, APRN, FNP-BC
• Ayg Medical Transport Service LLC
• B&B Florida Eye Care PLLC (Pearle Vision)
• Back in Health Wellness Center LLC
• Back-Rubs to Go, Inc.
• Delila Lyn Backus
• Frank James Badala, D.C.
• Jennifer Eileen Bade

• Chiropractor in Lutz, FL
• Providers in Lutz, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.