# EXPERIENCE BASSAM, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396627717
- **Authorized official:** LEE DAWSON SR. (MGR)
- **Authorized official phone:** (813) 397-8066

## Contact information

- **Practice address:** 8020 N 56TH ST, TAMPA, FL 33617-7600
- **Practice address phone:** (813) 397-8066
- **Mailing address:** 8020 N 56TH ST, TAMPA, FL 33617-7600
- **Mailing address phone:** (813) 397-8066

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 07/25/2025
- **Last updated:** 07/25/2025