PALM WELLNESS CENTER LLC; NPI #1255736831

Contact Information

PALM WELLNESS CENTER LLC

1004 W. LINEBAUGH AVE
STE #A
TAMPA, FL 33612

Phone: 813-443-5370
Fax: 813-443-5604
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rehabilitation	261QR0400X	B4[14]	Rehabilitation Agency

Indicates primary specialty

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NPI Profile & details for PALM WELLNESS CENTER LLC

NPI Number 1255736831

LBN Legal business name PALM WELLNESS CENTER LLC

Authorized official MICHEL REYES - (CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/25/2014

Last updated 10/21/2021 - About 5 years ago

Identifiers

License #

MM28422

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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