PALM WELLNESS CENTER LLC NPI 1255736831

NPI Information

NPI: 1255736831
Provider Name: PALM WELLNESS CENTER LLC
Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

CLIA Number: 10D2279940

Address:
1004 W. LINEBAUGH AVE
STE #A
TAMPA, FL
ZIP 33612
Phone: (813) 443-5370
Get Directions

PALM WELLNESS CENTER LLC is a rehabilitation clinic center in Tampa, FL. PALM WELLNESS CENTER LLC NPI is 1255736831. The provider is registered as an organization entity type.

The provider's business location address is:

1004 W. LINEBAUGH AVE
STE #A
TAMPA, FL
ZIP 33612
Phone: (813) 443-5370
Fax: (813) 443-5604

The provider's authorized official is Michel Reyes .
The authorized official title is Ceo and has the following contact phone number (813) 443-5370.

The CLIA number assigned to this NPI record is 10D2279940 - other - wellness center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/25/2014 and was last updated on 10/21/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0400X	Clinic/Center	Rehabilitation	MM28422	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »