LISSMART REHABILITATION OF TAMPA,INC (NPI# 1639407638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639407638 |
| Entity Type | Organization |
| Organization Name | LISSMART REHABILITATION OF TAMPA,INC |
| Practice Address |
8130 W Waters Ave 130 Tampa FL 33615-1821 |
| Practice Telephone | 8138887177 |
| Practice Fax Number | 8138887110 |
| Mailing Telephone | 8138887177 |
| Mailing Fax Number | 8138887110 |
| Enumeration Date | 2009-12-02 |
| Last Update Date | 2009-12-02 |
| Authorized Official Name | LISVET MARTINEZ (V.PRESIDENT) |
| Authorized Official Telephone | 8138887177 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
HCC7865 | FL | Ambulatory Health Care Facilities |
| Street Address |
8130 W WATERS AVE 130 |
| City | TAMPA |
| State | FL |
| Zip Code | 33615-1821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649685082 | Francis Lugo | Dentist | 8130 W Waters Ave, Suite 200b, Tampa, FL 33615-1821 | 2014-06-24 |
| 1831433994 | Pedro A. Belaunzaran Dds Pa | Dentist | 8130 W Waters Ave, Suite 200-b, Tampa, FL 33615-1821 | 2012-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083125132 | The Ida House Assisted Living LLC | Assisted Living Facility | 6014 Rosewood Dr, Tampa, FL 33615 | 2017-10-17 |
| 1235671785 | Magnet Home Health Care Services, LLC | Home Health | 5700 Memorial Highway Suite G X H 102, Tampa, FL 33615 | 2016-11-15 |
| 1891247532 | Martin Esuzor | Nurse Practitioner | 7918 Hillsborough Avenue, Tampa, FL 33615 | 2016-10-28 |
| 1902263007 | Marie E. Simeon | Nursing Facility/Intermediate Care Facility | 8206 Pennywell Place, Tampa, FL 33615 | 2016-01-20 |
| 1598183659 | Mustafa Mohammad | Dermatology | 6001 Memorial Highway, Tampa, FL 33615 | 2014-04-04 |
| 1710327101 | Kelly A Alvarez | Case Manager/Care Coordinator | 7007 Cobblewood Ct, Tampa, FL 33615 | 2013-06-28 |
| 1336497080 | Serenity Home of Tampa Alf LLC | Assisted Living Facility | 6013 Cresthill Drive, Tampa, FL 33615 | 2012-08-28 |
| 1063777563 | Jaime Alexander Pacheco | Chiropractor | 6301 Memorial Hwy Suit 304, Tampa, FL 33615 | 2012-07-10 |
| 1558656678 | Scripts Direct, LLC | Pharmacy | 8313 W. Hillsborough Ave., # 260, Tampa, FL 33615 | 2011-06-16 |
| 1508178245 | The Spring of Tampa Bay | Counselor | 2810 N. 35 St, Tampa, FL 33615 | 2010-07-10 |
| Find all providers in zip 33615 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386185189 | Path Medical, LLC | Clinic/Center | 14824 N Florida Ave Ste A, Tampa, FL 33613-1844 | 2017-03-13 |
| 1558802579 | Path Medical, LLC | Clinic/Center | 4700 N Habana Ave Ste 100, Tampa, FL 33614-7116 | 2017-03-09 |
| 1780062919 | Memorial Medical Center Inc | Clinic/Center | 8001 N Dale Mabry Hwy Ste 501, Tampa, FL 33614-3265 | 2015-05-07 |
| 1306233002 | Sensational Rehab, LLC | Clinic/Center | 204 E Hanna Ave, Tampa, FL 33604-6719 | 2015-04-20 |
| 1245509751 | Cypress Wellness and Spa, Inc. | Clinic/Center | 3249 W Cypress St, Suite C, Tampa, FL 33607-5153 | 2011-12-29 |
| 1265755656 | Columbus Health Care | Clinic/Center | 3434 W Columbus Dr Ste 204, Tampa, FL 33607-1858 | 2010-03-12 |
| 1750613055 | Westport Holdings Tampa, Limited Partnership | Clinic/Center | 12401 N 22nd St, Tampa, FL 33612-4670 | 2010-02-11 |
| 1629307079 | American Rehab Clinic Inc | Clinic/Center | 4006 N Habana Ave, Suite 12, Tampa, FL 33614 | 2009-12-14 |
| 1508199175 | Park Place Therapy,llc | Clinic/Center | 6802 N Armenia Ave Ste A, Tampa, FL 33604-5776 | 2009-09-14 |
| 1740421627 | Ameri Rehab LLC. | Clinic/Center | 3601 W Kennedy Blvd, Suite E., Tampa, FL 33609-2850 | 2009-03-23 |
| Find all providers in TAMPA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.