Organization · Type 2 NPI
Lara Health and Wellness Center LLC
Multi-Specialty Clinic/Center · Tampa, FL
NPI number
1104457977
Active
Practice location
3105 W Waters Ave Ste 105
Tampa, FL 33614-2846
Fax (813) 415-2982
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | None listed |
| Multi-Specialty Clinic/Center Primary | 261QM1300X | None listed |
Multi-Specialty Clinic/Center: Definition to come...
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About NPI 1104457977
Lara Health and Wellness Center LLC's National Provider Identifier is 1104457977, issued on Jan 30, 2020. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Tampa, FL. The record was last updated on Feb 7, 2020.