Bride Mobility of Tampa LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

BRIDE MOBILITY OF TAMPA LLC

Practice address

1205 Tech Blvd Ste 104
Tampa, FL 33619-7856

Phone

(813) 621-2001

Fax

(813) 701-9681

NPI assigned

Mar 20, 2024

Organization subpart

No

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

Authorized official

Name

Magdalena Santos

Title

Ceo

Phone

(813) 787-8375

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1710892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714435200000",
    "number": "1952161655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 TECH BLVD STE 104",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336197856",
            "telephone_number": "813-621-2001",
            "fax_number": "813-701-9681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 TECH BLVD STE 104",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336197856",
            "telephone_number": "813-621-2001",
            "fax_number": "813-701-9681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDE MOBILITY OF TAMPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-20",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "MAGDALENA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "813-787-8375"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian M. Bivens, DMD, Ms, PA
• Hannah Crews Brian, CRNA
• Othman Yassen Bricha, MD
• Winfiled Scott Brickett, ATC, LAT
• Ornella Bricoune, MD
• Heather C Bridge, PA
• Jana Bridge
• Michelle Bridge, LCSW
• Bridgeconnect Psychiatry PLLC
• Jennifer Ashley Bridges Barr, CRNA

• Durable Medical Equipment & Medical Supplies in Tampa, FL
• Providers in Tampa, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.