Provider Demographics
NPI:1730763806
Name:BETTER YEARS AHEAD MEDICAL CENTER LLC
Entity type:Organization
Organization Name:BETTER YEARS AHEAD MEDICAL CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO/ADM
Authorized Official - Prefix:
Authorized Official - First Name:TAIMARYS
Authorized Official - Middle Name:
Authorized Official - Last Name:VELAZQUEZ PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-906-2080
Mailing Address - Street 1:4728 N HABANA AVE STE 302
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33614-7183
Mailing Address - Country:US
Mailing Address - Phone:813-906-2080
Mailing Address - Fax:
Practice Address - Street 1:4728 N HABANA AVE STE 302
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614-7183
Practice Address - Country:US
Practice Address - Phone:813-906-2080
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-05
Last Update Date:2024-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Multi-Specialty