MEDSPA & PRIMARY CARE LLC NPI 1548021314

NPI Information

NPI: 1548021314
Provider Name: MEDSPA & PRIMARY CARE LLC

Doing Business As: LABELLE MEDSPA & WELLNESS CENTER

Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
825 E COWBOY WAY STE 106
LABELLE, FL
ZIP 33935
Phone: (863) 230-8163
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MEDSPA & PRIMARY CARE LLC is a health service clinic center in Labelle, FL. MEDSPA & PRIMARY CARE LLC NPI is 1548021314. The provider is registered as an organization entity type.
The provider Is Doing Business As Labelle Medspa & Wellness Center.

The provider's business location address is:

825 E COWBOY WAY STE 106
LABELLE, FL
ZIP 33935-491
Phone: (863) 230-8163
Fax: (863) 230-8273

The provider's authorized official is Ahitza Carrazana Estrada .
The authorized official title is Aprn and has the following contact phone number (863) 230-8163.

The CLIA number assigned to this NPI record is 10D2301686 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/18/2024 and was last updated on 3/27/2024.

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	261QH0100X	Clinic/Center	Health Service			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

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