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HEALTHY BODIES MEDICAL CENTER NPI 1265972103


NPI Information

NPI: 1265972103
Provider Name: HEALTHY BODIES MEDICAL CENTER
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 10D2232810

Address:
3415 BROOK CROSSING DR
BRANDON, FL
ZIP 33511
Phone: (813) 540-5005
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HEALTHY BODIES MEDICAL CENTER is a clinic center in Brandon, FL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). HEALTHY BODIES MEDICAL CENTER NPI is 1265972103. The provider is registered as an organization entity type.

The provider's business location address is:

3415 BROOK CROSSING DR
BRANDON, FL
ZIP 33511-181
Phone: (813) 540-5005

The provider's authorized official is Watson Ducatel .
The authorized official title is Physician and has the following contact phone number (813) 540-5005.

The CLIA number assigned to this NPI record is 10D2232810 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/25/2017 and was last updated on 2/25/2017.


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
1261Q00000XClinic/CenterOS11874FLORIDAYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.