MEDICARE: ROSA F BAHAMONDE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106E00000X	Assistant Behavior Analyst

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093405391
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSA F BAHAMONDE

Provider Business Mailing Address
First Line	:	902 ESSEX RD
Second Line	:
City	:	BRANDON
State	:	FL
Zip	:	33510-2735
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	902 ESSEX RD
Second Line	:
City	:	BRANDON
State	:	FL
Zip	:	33510-2735
Country	:	US
Telephone Number	:	813-316-5625
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/10/2023
Last Update Date	:	05/10/2023

Similar Medicare Providers

1770449555 — ASTER WALLACE
Practice Location Address:

918 ESSEX RD
BRANDON, FL
33510-2735

Practice Phone: 813-326-5835
Practice Fax:

1821954223 — LISA MARIE VILA COMAS
Practice Location Address:

217 N KINGS AVE APT 101
BRANDON, FL
33510-4331

Practice Phone: 813-770-8113
Practice Fax:

1922964022 — JOCELYN PACE
Practice Location Address:

220 GRAND REGENCY BLVD
BRANDON, FL
33510-3935

Practice Phone: 813-709-7989
Practice Fax: 317-520-8200

1174400642 — BRIANNA ROUSSIN PT, DPT
Practice Location Address:

206 RIDGEWOOD AVE
BRANDON, FL
33510-4617

Practice Phone: 813-662-1060
Practice Fax:

1205641925 — L. L. GREEN AND ASSOCIATES, LLC
Practice Location Address:

2103 NUTTALL OAKS PL
BRANDON, FL
33510-2179

Practice Phone: 813-999-3001
Practice Fax: 813-819-2619

1407711831 — GABRIELA ABAD-ALMAZO
Practice Location Address:

220 GRAND REGENCY BLVD
BRANDON, FL
33510-3935

Practice Phone: 813-709-7989
Practice Fax: 317-520-8200

Directions to “ ROSA F BAHAMONDE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.