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BONITA COSMETIC LLC NPI 1164177721


NPI Information

NPI: 1164177721
Provider Name: BONITA COSMETIC LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
7820 N ARMENIA AVE STE B
TAMPA, FL
ZIP 33604
Phone: (813) 931-0024
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BONITA COSMETIC LLC is a primary care clinic center in Tampa, FL. BONITA COSMETIC LLC NPI is 1164177721. The provider is registered as an organization entity type.

The provider's business location address is:

7820 N ARMENIA AVE STE B
TAMPA, FL
ZIP 33604-852
Phone: (813) 931-0024
Fax: (813) 931-0026

The provider's authorized official is Oriberto Iparraguirre Gongora .
The authorized official title is Ambr and has the following contact phone number (813) 931-0024.

The enumeration date for this NPI number is 2/12/2022 and was last updated on 2/12/2022.


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
1261QP2300XClinic/CenterPrimary CareYes

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

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