Bain Complete Wellness | |
10311 Cross Creek Blvd Ste E, Tampa, FL 33647-2989 | |
(813) 574-2460 | |
Not Available |
Full Name | Bain Complete Wellness |
---|---|
Type | Facility |
Speciality | Family Medicine |
Location | 10311 Cross Creek Blvd Ste E, Tampa, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376889519 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CH8562 (Florida) | Secondary |
207Q00000X | Family Medicine | ME115880 (Florida) | Primary |
225100000X | Physical Therapist | PT20198 (Florida) | Secondary |
Provider Name | Todd S Minear |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1679688667 PECOS PAC ID: 1456257054 Enrollment ID: I20031212000116 |
Provider Name | Heather Allred |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1639408149 PECOS PAC ID: 6608763867 Enrollment ID: I20040302000845 |
Provider Name | Edgar Daniel Ramirez |
---|---|
Provider Type | Practitioner - Interventional Pain Management |
Provider Identifiers | NPI Number: 1548242399 PECOS PAC ID: 8426048612 Enrollment ID: I20040518000826 |
Provider Name | Timothy F Bain |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1538388566 PECOS PAC ID: 7315926862 Enrollment ID: I20040719000688 |
Provider Name | Karen A Derr |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1073536769 PECOS PAC ID: 3971416884 Enrollment ID: I20041015000133 |
Provider Name | Michele D Pescasio |
---|---|
Provider Type | Practitioner - Sports Medicine |
Provider Identifiers | NPI Number: 1285610915 PECOS PAC ID: 7315950581 Enrollment ID: I20060711000419 |
Provider Name | William S Blackshear |
---|---|
Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1346430055 PECOS PAC ID: 1153411970 Enrollment ID: I20071218000048 |
Provider Name | Theresa L Gabriel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942358353 PECOS PAC ID: 4587694153 Enrollment ID: I20080715000783 |
Provider Name | Lindsay J Taylor |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1336308931 PECOS PAC ID: 4587724737 Enrollment ID: I20081118000899 |
Provider Name | Mayra Alfonso |
---|---|
Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1033298393 PECOS PAC ID: 9133028608 Enrollment ID: I20130201000123 |
Provider Name | Mandy Francis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306270640 PECOS PAC ID: 3072732718 Enrollment ID: I20140911002094 |
Provider Name | Eric W Johnson |
---|---|
Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1124428966 PECOS PAC ID: 2365663846 Enrollment ID: I20141027001077 |
Provider Name | Amanda L Walker |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1467707059 PECOS PAC ID: 7810202074 Enrollment ID: I20150817002107 |
Provider Name | Curtis Gene Ladd |
---|---|
Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1487933685 PECOS PAC ID: 1951601319 Enrollment ID: I20151208000850 |
Provider Name | Paul Bacon |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1609269125 PECOS PAC ID: 1052618584 Enrollment ID: I20160329001960 |
Provider Name | Vladimyr Jean-pierre |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1386007656 PECOS PAC ID: 2567751860 Enrollment ID: I20160510000356 |
Provider Name | Joshua Scott Powers |
---|---|
Provider Type | Practitioner - Pain Management |
Provider Identifiers | NPI Number: 1487953667 PECOS PAC ID: 6406159623 Enrollment ID: I20160914002449 |
Provider Name | Randall Matulka |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1730619081 PECOS PAC ID: 9133518285 Enrollment ID: I20211111002092 |
Provider Name | Nils Semjonovs |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1053083790 PECOS PAC ID: 9234529884 Enrollment ID: I20211214001547 |
Provider Name | Branden Race |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1033749627 PECOS PAC ID: 2163859786 Enrollment ID: I20220324002457 |
Provider Name | Chelsa Regail Smith |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1346977303 PECOS PAC ID: 9931585536 Enrollment ID: I20221005002340 |
Provider Name | Rachel Franklin |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1336238427 PECOS PAC ID: 3375576150 Enrollment ID: I20230324002222 |
Mailing Address | Practice Location Address |
---|---|
Bain Complete Wellness 10311 Cross Creek Blvd Ste E, Tampa, FL 33647-2989 Ph: (813) 574-2460 | Bain Complete Wellness 10311 Cross Creek Blvd Ste E, Tampa, FL 33647-2989 Ph: (813) 574-2460 |