Go Grow Live, Llc

LBN: Go Grow Live, Llc
Go Grow Live, Llc is an health care organization with primary practice located at 12015 Whitmarsh Ln , Tampa FL 33626-1737. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as the primary health care specialty. Go Grow Live, Llc can be contacted via phone (813) 587-0605, or through Hand, Erica via phone (813) 407-6074.

Contact Information

Primary practice address
12015 Whitmarsh Ln Tampa FL 33626-1737
Phone: (813) 587-0605
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hand, Erica Advanced Practice Registered Nurse (APRN)
Phone: (813) 407-6074

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1457928491
LBN Legal business name Go Grow Live, Llc
DBA Doing business as
Authorized official Hand, Erica Advanced Practice Registered Nurse (APRN)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 8th, 2021
Last updated Jun 8th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457928491 NPPES
Florida MEDICAID 109361900

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