PHARMCLINIC TWO LLC NPI 1245576685

NPI Information

NPI: 1245576685
Provider Name: PHARMCLINIC TWO LLC

Doing Business As: WELLNESS AND WEIGHTLOSS OF TAMPA

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

Specialization: Health Service

CLIA Number: 10D2004149

Address:
1135 PROFESSIONAL PARK DR
BRANDON, FL
ZIP 33511
Phone: (813) 689-9911
Get Directions

PHARMCLINIC TWO LLC is a health service clinic center in Brandon, FL. PHARMCLINIC TWO LLC NPI is 1245576685. The provider is registered as an organization entity type.
The provider Is Doing Business As Wellness And Weightloss Of Tampa.

The provider's business location address is:

1135 PROFESSIONAL PARK DR
BRANDON, FL
ZIP 33511-887
Phone: (813) 689-9911
Fax: (813) 653-1177

The provider's authorized official is Bryan Henderson .
The authorized official title is Owner/manager and has the following contact phone number (850) 293-8459.

The CLIA number assigned to this NPI record is 10D2004149 - other practitioner with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/12/2012 and was last updated on 12/12/2012.

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: 11/14/2023

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