Organization
BAYSHORE TBI, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MITCHELL DITTMAN ESQ. (OWNER/PRESIDENT)
(941) 993-0797
Entity
Organization
Contact information
Practice address
2201 CANTU CT, SUITE 119, SARASOTA, FL 34232-6260
(941) 993-0797
(941) 260-5907
Mailing address
2201 CANTU CT, SUITE 119, SARASOTA, FL 34232-6260
(941) 993-0797
(941) 260-5907
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
233926
FL
Other
Enumeration date
03/15/2017
Last updated
03/15/2017
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