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NPI Code Detail

MEDICARE: MY BAE INC

MEDICARE: MY BAE INC
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
1302R00000XHealth Maintenance Organization
2253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1598567778
Entity Type Code : Organization
Provider Name (Legal Business Name) : MY BAE INC
Provider Business Mailing Address
First Line : 1517 WISHING WELL WAY
Second Line :
City : TAMPA
State : FL
Zip : 33619-5653
Country : US
Telephone Number : 813-317-6402
Fax Number :
Provider Business Practice Location Address
First Line : 1517 WISHING WELL WAY
Second Line :
City : TAMPA
State : FL
Zip : 33619-5653
Country : US
Telephone Number : 813-317-6402
Fax Number :
Authorized Official
Title or Position : CEO
Name : TAQUARNA EDRICKA SILVA
Credential :
Telephone Number : 813-317-6402
Provider Enumeration Date : 03/26/2025
Last Update Date : 03/26/2025

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Directions to “MY BAE INC ” Practice Location

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