Bollettieri Sports Medicine Center

LBN: Bollettieri Sports Medicine Center
Bollettieri Sports Medicine Center is an health care organization with primary practice located at 5500 34Th Street West , Bradenton FL 34210-3506. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. Bollettieri Sports Medicine Center can be contacted via phone (941) 755-0068, or through Frye, Jay S via phone (941) 755-0068.

Contact Information

Primary practice address
5500 34Th Street West Bradenton FL 34210-3506
Phone: (941) 755-0068
Fax: (941) 727-7502
Website:
Map and Directions
Authorized official contact:
Name: Frye, Jay S Physical Therapist (PT)
Phone: (941) 755-0068

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X

Profile Details

NPI number 1962574541
LBN Legal business name Bollettieri Sports Medicine Center
DBA Doing business as
Authorized official Frye, Jay S Physical Therapist (PT)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 15th, 2006
Last updated Feb 16th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962574541 NPPES
Florida Other Q3B BLUE CROSS BLUE SHIELD FL
Florida Other 5864226-003 BLUE CROSS BLUE SHIELD FL

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