OrganizationActive
Brandon Sports and Aquatics Center, Inc.
NPI 1114744067 · Day Training/Habilitation Specialist · Brandon, FL
Provider details
- NPI number
- 1114744067
- Entity type
- Organization
- Primary specialty
- Day Training/Habilitation SpecialistNursing Service Related Providers
- Organization subpart
- No
- Authorized official
- Charles Burgess, Ceo(813) 689-0908
Specialties & taxonomies
Nursing Service Related Providers
Practice location
405 Beverly Blvd
Brandon, FL 33511-5507
Phone: (813) 689-0908
Approximate (ZIP-level) locationGet directions
Mailing address
405 Beverly Blvd
Brandon, FL 33511-5507
Other names (DBA / former)
- Doing business as
- High 5, Inc.
Registry dates
- Enumerated
- 2024-09-23
- Last updated
- 2025-01-07
- Certified
- 2025-01-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.