Healthcare Provider Details
I. General information
NPI: 1174451637
Provider Name (Legal Business Name): TAMPA BAY COMMUNITY SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
714 PARKER DEN DR
RUSKIN FL
33570-2054
US
IV. Provider business mailing address
714 PARKER DEN DR
RUSKIN FL
33570-2054
US
V. Phone/Fax
- Phone: 813-802-7451
- Fax: 888-453-5103
- Phone: 813-802-7451
- Fax: 888-453-5103
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251C00000X |
| Taxonomy | Developmentally Disabled Services Day Training Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
RAMONA
YVETTE
BURROWES
Title or Position: OWNER/OPERATOR
Credential:
Phone: 813-802-7451