Healthcare Provider Details

I. General information

NPI: 1154564565
Provider Name (Legal Business Name): GLOBAL BUSINESS& HEALTHCARE CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2009
Last Update Date: 04/14/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8052 N 56TH ST
TAMPA FL
33617-7620
US

IV. Provider business mailing address

8052 N 56TH ST
TAMPA FL
33617-7620
US

V. Phone/Fax

Practice location:
  • Phone: 813-985-8500
  • Fax: 813-985-8553
Mailing address:
  • Phone: 813-985-8500
  • Fax: 813-985-8553

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License NumberPRC13917
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License NumberMH8653
License Number StateFL

VIII. Authorized Official

Name: DR. JEFFERY HAYNES
Title or Position: CEO
Credential: PH.D.
Phone: 813-985-8500