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FAMILY WELLNESS CENTER OF TAMPA PA NPI 1013163781


NPI Information

NPI: 1013163781
Provider Name: FAMILY WELLNESS CENTER OF TAMPA PA

Former Legal Business Name: LASERMEDIC, INC.

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
2734 WINDGUARD CIR
SUITE 102
WESLEY CHAPEL, FL
ZIP 33544
Phone: (813) 994-0611
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FAMILY WELLNESS CENTER OF TAMPA PA is a primary care clinic center in Wesley Chapel, FL. FAMILY WELLNESS CENTER OF TAMPA PA NPI is 1013163781. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Lasermedic, Inc..

The provider's business location address is:

2734 WINDGUARD CIR
SUITE 102
WESLEY CHAPEL, FL
ZIP 33544-362
Phone: (813) 994-0611
Fax: (813) 994-0085

The provider's authorized official is Richard F Kay .
The authorized official title is President and has the following contact phone number (813) 994-0611.

The enumeration date for this NPI number is 8/13/2008 and was last updated on 7/22/2014.


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 CareME88978FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1009565000MEDICAIDFLORIDA
2009566500MEDICAIDFLORIDA
3C93008MEDICARE UPINFLORIDA

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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