MEDICARE: BBI NOVACARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184341919
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BBI NOVACARE LLC

Provider Business Mailing Address
First Line	:	1503 S US HIGHWAY 301 STE 93
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33619-5126
Country	:	US
Telephone Number	:	813-419-0975
Fax Number	:

Provider Business Practice Location Address
First Line	:	1503 S US HIGHWAY 301 STE 93
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33619-5126
Country	:	US
Telephone Number	:	813-419-0975
Fax Number	:

Authorized Official
Title or Position	:	LAB DIRECTOR
Name	:	DR. AGNES UBANI
Credential	:	MD
Telephone Number	:	813-419-0975

Provider Enumeration Date	:	10/24/2022
Last Update Date	:	10/24/2022

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Directions to “BBI NOVACARE LLC ” Practice Location

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