Organization
GULF BAY CARE LLC
Active
Organization
GULF BAY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YUNIER RODRIGUEZ (OWNER)
(813) 405-4428
Entity
Organization
Contact information
Practice address
8019 N HIMES AVE STE 311, TAMPA, FL 33614-2761
(813) 405-4428
(813) 405-4599
Mailing address
8019 N HIMES AVE STE 311, TAMPA, FL 33614-2761
(813) 405-4428
(813) 405-4599
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
HCC10872
FL
261QP2000X
Physical Therapy Clinic/Center
Primary
MM36223
FL
261QR0400X
Rehabilitation Clinic/Center
MM36223
FL
Other
Enumeration date
09/06/2017
Last updated
07/21/2022
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