Healthcare Provider Details

I. General information

NPI: 1255024014
Provider Name (Legal Business Name): BAILEY COMBS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/30/2023
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2640 CYPRESS RIDGE BLVD STE 101
WESLEY CHAPEL FL
33544-6318
US

IV. Provider business mailing address

6109 SW 115TH STREET RD
OCALA FL
34476-4838
US

V. Phone/Fax

Practice location:
  • Phone: 877-823-4283
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number0-26-16926
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: