MEDICARE: THE SPRING

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	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1871657585
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE SPRING

Provider Business Mailing Address
First Line	:	PO BOX 4772
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33677-4772
Country	:	US
Telephone Number	:	813-247-5433
Fax Number	:	813-241-4297

Provider Business Practice Location Address
First Line	:	209 N WILLOW AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33606-1333
Country	:	US
Telephone Number	:	813-247-5433
Fax Number	:	813-241-4297

Authorized Official
Title or Position	:	DIRECTOR OF PROGRAMS
Name	:	JIM BRACE
Credential	:
Telephone Number	:	813-247-5433

Provider Enumeration Date	:	12/20/2006
Last Update Date	:	08/22/2020

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Directions to “THE SPRING ” Practice Location

Language	Start Address	Practice Location

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