Healthcare Provider Details

I. General information

NPI: 1700433067
Provider Name (Legal Business Name): BYT ENTERPRISE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2019
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

990 N MAIN STREET
BUSHNELL FL
33513-5008
US

IV. Provider business mailing address

18001 RICHMOND LACE DRIVE UNIT 124
TAMPA FL
33647-1742
US

V. Phone/Fax

Practice location:
  • Phone: 813-316-8933
  • Fax: 352-608-9269
Mailing address:
  • Phone: 813-316-8933
  • Fax: 352-608-9269

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code224P00000X
TaxonomyProsthetist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: MRS. JUDY CARELOCK
Title or Position: OWNER
Credential: RN
Phone: 404-694-4266