OrganizationActive
Bain Complete Wellness LLC
NPI 1821491168 · Family Medicine Physician · Tampa, FL
Provider details
- NPI number
- 1821491168
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Susanne Witt, Vp, Operations(813) 574-2460
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Chiropractor111N00000X
Chiropractic Providers
- Physical Therapist225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10311 Cross Creek Blvd
Suite E
Tampa, FL 33647-2989
Phone: (813) 907-9898
Fax: (813) 907-0220
Street-level locationGet directions
Mailing address
1868 Highland Oaks Blvd Ste B
Lutz, FL 33559-7413
Registry dates
- Enumerated
- 2014-10-01
- Last updated
- 2014-10-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.