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Contact Information

JOHNNIE B BYRD SR ALZHEIMERS CENTER AND RESEARCH INSTITUTE
4001 E FLETCHER AVE
TAMPA, FL33613-4808
 Phone: 813-866-1611
 Fax: 813-866-1612
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Geriatric Psychiatry

2084P0805X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for JOHNNIE B BYRD SR ALZHEIMERS CENTER AND RESEARCH INSTITUTE

NPI Number 1972700169
LBN Legal business name JOHNNIE B BYRD SR ALZHEIMERS CENTER AND RESEARCH INSTITUTE
Authorized official LILLY HO - PEHLING - (CHIEF OPERATING OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/29/2007
Last updated 07/15/2008 - About 18 years ago
Identifiers
FL License # ME31300
FL License # SW 7429
FL Other ME31300 BALEBAIL ASHOK RAJ, M.D.
FL Other SW 7429 NANCY ANN TETEN, LCSW,CAP
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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