| Tampa Bay Academy | |
|
12012 Boyette Rd Riverview FL 33569-5631 | |
| (813) 677-6700 | |
| (813) 671-3145 |
| Full Name | Tampa Bay Academy |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 12012 Boyette Rd, Riverview, Florida |
| Authorized Official Name and Position | Bobby Jean Cooper (THERAPIST) |
| Authorized Official Contact | 8136776700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tampa Bay Academy 12012 Boyette Rd Riverview FL 33569-5631 Ph: (813) 677-6700 | Tampa Bay Academy 12012 Boyette Rd Riverview FL 33569-5631 Ph: (813) 677-6700 |
| NPI Number | 1811154933 |
|---|---|
| Provider Enumeration Date | 05/16/2008 |
| Last Update Date | 05/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811154933 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MH9004 (Florida) | Primary |
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