| Tampa Bay Spine & Sports Medicine Llc | |
|
32815 Us Highway 19 N Ste 200 Palm Harbor FL 34684-3145 | |
| (727) 412-8541 | |
| (727) 412-8541 |
| Full Name | Tampa Bay Spine & Sports Medicine Llc |
|---|---|
| Speciality | General Practice |
| Location | 32815 Us Highway 19 N Ste 200, Palm Harbor, Florida |
| Authorized Official Name and Position | Eric Jason Nye (PRESIDENT) |
| Authorized Official Contact | 7274128503 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tampa Bay Spine & Sports Medicine Llc 32815 Us Highway 19 N Ste 200 Palm Harbor FL 34684-3145 Ph: (727) 412-8541 | Tampa Bay Spine & Sports Medicine Llc 32815 Us Highway 19 N Ste 200 Palm Harbor FL 34684-3145 Ph: (727) 412-8541 |
| NPI Number | 1659922169 |
|---|---|
| Provider Enumeration Date | 09/25/2019 |
| Last Update Date | 09/25/2019 |
| Medicare PECOS PAC ID | 9032528740 |
|---|---|
| Medicare Enrollment ID | O20210511000017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659922169 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Eric Nye |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1245564038 PECOS PAC ID: 3577755669 Enrollment ID: I20101007000881 |
| Provider Name | Yogita N Singh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053780270 PECOS PAC ID: 8224465273 Enrollment ID: I20200305000044 |
| Provider Name | Lawrence J Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336245067 PECOS PAC ID: 0446237051 Enrollment ID: I20221101000060 |
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