NPI:
1104457977
Provider Name:
LARA HEALTH AND WELLNESS CENTER LLC
Doing Business As: LARA HEALTH AND WELLNESS CENTER, LLC
Classification:
Clinic/Center - 261QM1300X
Entity Type:
Organization
Specialization: Multi-Specialty
Address:
3105 W WATERS AVE STE 105
TAMPA, FL
ZIP 33614
Phone:
(813) 443-0705
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LARA HEALTH AND WELLNESS CENTER LLC is a multi-specialty clinic center in Tampa, FL. LARA HEALTH AND WELLNESS CENTER LLC NPI is 1104457977. The provider is registered as an organization entity type.
The provider Is Doing Business As Lara Health And Wellness Center, Llc.
The provider's business location address is:
3105 W WATERS AVE STE 105
TAMPA, FL
ZIP 33614-846
Phone: (813) 443-0705
Fax: (813) 415-2982
The provider's authorized official is Yonaika Lara .
The authorized official title is Owner and has the following contact phone number (813) 415-2982.
The enumeration date for this NPI number is 1/30/2020 and was last updated on 2/7/2020.