Bruised But Not Destroyed Inc

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

BRUISED BUT NOT DESTROYED INC

Practice address

653 Orista Dr
Davenport, FL 33897-9589

Phone

(813) 928-8177

NPI assigned

Mar 5, 2024

Organization subpart

No

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

Authorized official

Name

Ms. Tanika Stewart

Title

Owner

Phone

(813) 928-8177

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1709596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709596800000",
    "number": "1982461828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "653 ORISTA DR",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338979589",
            "telephone_number": "813-928-8177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "653 ORISTA DR",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338979589",
            "telephone_number": "813-928-8177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUISED BUT NOT DESTROYED INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-05",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "TANIKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-928-8177",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamal Deante Brooks
• Amanda Kay Bross
• Briana Brown, FNP
• Keraye Brown, APRN
• Nicholas Thomas Brudnak III, RPH
• Cynthia Suzanne Bruns-Smit, ARNP
• BSN Health (Family Care Clinic Pharmacy)
• Michelle Buchanan
• Izora Laverne Bullock
• Stuart Bumgarner, MD

• Developmentally Disabled Services Day Training Agency in Davenport, FL
• Providers in Davenport, FL by specialty
• Developmentally Disabled Services Day Training Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.