Heaven Wellness Medical Center, Inc.

LBN: Heaven Wellness Medical Center, Inc.
Heaven Wellness Medical Center, Inc. is an health care organization with primary practice located at 11961 N Florida Ave Ste B , Tampa FL 33612-5213. The organization recently has 4 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Health Service, Ambulatory Health Care Facilities / Physical Therapy, Ambulatory Health Care Facilities / Rehabilitation. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty. Heaven Wellness Medical Center, Inc. can be contacted via phone (813) 415-2891, or through Hurtado Hernandez, Lazara via phone (813) 409-9457.

Contact Information

Primary practice address
11961 N Florida Ave Ste B Tampa FL 33612-5213
Phone: (813) 415-2891
Fax: (813) 443-3149
Website:
Map and Directions
Authorized official contact:
Name: Hurtado Hernandez, Lazara
Phone: (813) 409-9457

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Ambulatory Health Care Facilities / Health Service 261QH0100X
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X
Ambulatory Health Care Facilities / Rehabilitation 261QR0400X

Profile Details

NPI number 1053034298
LBN Legal business name Heaven Wellness Medical Center, Inc.
DBA Doing business as
Authorized official Hurtado Hernandez, Lazara
Entity Organization
Organization subpart 1 No
Enumeration date Sep 22nd, 2022
Last updated Sep 22nd, 2022 - 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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