PRIVILEGED FACES LLC NPI 1609697580

NPI Information

  • NPI: 1609697580
  • Provider Name: PRIVILEGED FACES, LLC
  • Classification: Clinic/Center - 261QM2500X
  • Specialization: Medical Specialty
  • Entity Type: Organization
  • Address: 701 W DR MARTIN LUTHER KING JR BLVD STE 6
    TAMPA, FL
    ZIP 33603
  • Phone: (813) 693-2328

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NPI Details

PRIVILEGED FACES, LLC is a medical specialty clinic center in Tampa, FL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). PRIVILEGED FACES, LLC NPI is 1609697580. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

701 W DR MARTIN LUTHER KING JR BLVD STE 6
TAMPA, FL
ZIP 33603-100
Phone: (813) 693-2328

The provider's authorized official is Kimberly Blackmon .
The authorized official title is Owner and has the following contact phone number (334) 714-3249.

The enumeration date for this NPI number is 10/23/2024 and was last updated on 10/23/2024.

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
1225700000XMassage TherapistNo
2261QM2500XClinic/CenterMedical SpecialtyYes

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: 11/21/2025

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