| Bain Complete Wellness Llc. | |
|
10311 Cross Creek Blvd Ste E, Tampa, FL 33647-2989 | |
| (813) 574-2460 | |
| Not Available |
| Full Name | Bain Complete Wellness Llc. |
|---|---|
| Type | Facility |
| Speciality | Family Medicine |
| Location | 10311 Cross Creek Blvd Ste E, Tampa, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376889519 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CH8562 (Florida) | Secondary |
| 225100000X | Physical Therapist | PT20198 (Florida) | Secondary |
| 207Q00000X | Family Medicine | ME115880 (Florida) | Primary |
| Provider Name | Heather Allred |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639408149 PECOS PAC ID: 6608763867 Enrollment ID: I20040302000845 |
| Provider Name | Timothy F Bain |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1538388566 PECOS PAC ID: 7315926862 Enrollment ID: I20040719000688 |
| Provider Name | Lindsay J Taylor |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1336308931 PECOS PAC ID: 4587724737 Enrollment ID: I20081118000899 |
| Provider Name | Nils Semjonovs |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053083790 PECOS PAC ID: 9234529884 Enrollment ID: I20211214001547 |
| Mailing Address | Practice Location Address |
|---|---|
| Bain Complete Wellness Llc. 10311 Cross Creek Blvd Ste E, Tampa, FL 33647-2989 Ph: (813) 574-2460 | Bain Complete Wellness Llc. 10311 Cross Creek Blvd Ste E, Tampa, FL 33647-2989 Ph: (813) 574-2460 |