NPI Code Detail JSON Logo

1104783745 NPI number — CARE BAY OF FLORIDA HEALTHCARE CENTER AND HEALTHCARE HUB LLC

NPI Number: 1104783745
Health Care Provider/Practitioner: CARE BAY OF FLORIDA HEALTHCARE CENTER AND HEALTHCARE HUB LLC

Information about “1104783745” NPI (CARE BAY OF FLORIDA HEALTHCARE CENTER AND HEALTHCARE HUB LLC) exists in 1104783745 in HTML format HTML  |  1104783745 in plain Text format TXT  |  1104783745 in PDF (Portable Document Format) PDF  |  1104783745 in an XML format XML  formats.

NPI Number : 1104783745 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1104783745",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "CARE BAY OF FLORIDA HEALTHCARE CENTER AND HEALTHCARE HUB LLC",
    "ParentOrgTIN": null,
    "OrgName": "CARE BAY OF FLORIDA HEALTHCARE CENTER AND HEALTHCARE HUB LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "4747 ROYAL BIRKDALE WAY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WESLEY CHAPEL",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33543",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "813-358-8139",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "11468 WEAVER HOLLOW RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NEWPORT RICHEY",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "34654",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "813-358-8139",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/06/2026",
    "LastUpdateDate": "01/06/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "RUMPH",
    "AuthorizedOfficialFirstName": "KATHERINE",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER/FOUNDER/CEO/DIRECTOR/COC",
    "AuthorizedOfficialNamePrefix": "MS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "813-475-8838",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207Q00000X",
        "TaxonomyName": "Family Medicine Physician",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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