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MINDBODYSPIRIT CARE INC NPI 1265734560


NPI Information

NPI: 1265734560
Provider Name: MINDBODYSPIRIT CARE INC
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 10D1011493

Address:
3610 MADACA LN
TAMPA, FL
ZIP 33618
Phone: (813) 935-2273
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MINDBODYSPIRIT CARE INC is an obstetrics gynecology in Tampa, FL. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. MINDBODYSPIRIT CARE INC NPI is 1265734560. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3610 MADACA LN
TAMPA, FL
ZIP 33618-057
Phone: (813) 935-2273
Fax: (813) 749-9075

The provider's authorized official is Ron Shemesh .
The authorized official title is President and has the following contact phone number (813) 505-1948.

The CLIA number assigned to this NPI record is 10D1011493 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/19/2010 and was last updated on 1/27/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & GynecologyYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1=========OTHERFLORIDAEIN

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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