MEDICARE: TAMPA BAY STAFFING SOLUTIONS INC

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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1942375613
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TAMPA BAY STAFFING SOLUTIONS INC

Provider Business Mailing Address
First Line	:	117 SEABOARD LN BLDG E
Second Line	:	ATTN: IASIS CORPORATE LEGAL DEPARTMENT
City	:	FRANKLIN
State	:	TN
Zip	:	37067-2855
Country	:	US
Telephone Number	:	615-844-2747
Fax Number	:	615-467-1271

Provider Business Practice Location Address
First Line	:	4144 N ARMENIA AVE
Second Line	:	SUITE 230
City	:	TAMPA
State	:	FL
Zip	:	33607-6400
Country	:	US
Telephone Number	:	813-872-8566
Fax Number	:	813-872-8564

Authorized Official
Title or Position	:	OFFICER
Name	:	BRIAN T. FLYNN
Credential	:
Telephone Number	:	727-341-7577

Provider Enumeration Date	:	11/21/2006
Last Update Date	:	03/07/2009

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