Bay Area Neuro Clinic Inc in Temple Terrace - Massage Therapist
Bay Area Neuro Clinic Inc - NPI 1194889709
Bay Area Neuro Clinic Inc is a Massage Therapist in Temple Terrace, Florida. Bay Area Neuro Clinic Inc practices all healthcare services and medical treatments related to Massage Therapist. The NPI Number for Bay Area Neuro Clinic Inc is 1194889709. The last update date is 2020-08-22.
Bay Area Neuro Clinic Inc's current location address is 6275 E Fowler Ave, Temple Terrace, Florida. You can contact this provider via phone number 8139853773 and fax number 8139847171. The mailing address for Bay Area Neuro Clinic Inc is 6275 E Fowler Ave, Temple Terrace, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Bay Area Neuro Clinic Inc |
|---|---|
| Address | 6275 E Fowler Ave, Temple Terrace, Florida |
| Phone Number | 8139853773 |
| Fax Number | 8139847171 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Bustamante Vicente Jose |
| Credentials | LICENSE MA |
| Telephone Number | 8139853773 |
NPI Number Detail
| NPI Number | 1194889709 |
|---|---|
| Provider Enumeration Date | 2006-12-20 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 6275 E Fowler Ave |
|---|---|
| City | Temple Terrace |
| State | Florida (FL) |
| Post Code | 33617 |
| Phone Number | 8139853773 |
| Fax Number | 8139847171 |
Provider's Primary Taxonomy Detail
| Speciality | Massage Therapist |
|---|---|
| Taxonomy | 225700000X |
|
Definition: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| C5112 | FL | BCBS |
Post Comment/ Review Below
What is the unique identifier code issued to Bay Area Neuro Clinic Inc by the Centers for Medicare & Medicaid Services (CMS)?
The Bay Area Neuro Clinic Inc has been assigned the NPI (National Provider Identifier) 1194889709. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Bay Area Neuro Clinic Inc?
The Bay Area Neuro Clinic Inc is situated at 6275 E Fowler Ave, in the city of Temple Terrace, state of FL, with the zip code 33617.
What is Bay Area Neuro Clinic Inc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Bay Area Neuro Clinic Inc's area of specialization is Massage Therapist, and the corresponding taxonomy code that categorizes this field of practice is 225700000X.
On what date did the Bay Area Neuro Clinic Inc receive its 1194889709 assignment from the Centers for Medicare & Medicaid Services?
The Bay Area Neuro Clinic Inc was assigned its 1194889709 by the Centers for Medicare & Medicaid Services on 2006-12-20.
When was the information pertaining to Bay Area Neuro Clinic Inc most recently updated or revised?
The details related to Bay Area Neuro Clinic Inc, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.