Blue Horseshoe Wellness, INC
Clinic/Center, Multi-Specialty in Tampa, FL. Organization (NPI-2).
NPI number1609212299
StatusActive
Last updated in NPPESMay 22, 2013
Details
- NPI
- 1609212299
- Entity type
- Organization (NPI-2)
- Legal business name
- Blue Horseshoe Wellness, INC
- Organization subpart
- No
- Enumeration date
- May 22, 2013
- Last updated
- May 22, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM1300X | Clinic/Center, Multi-Specialty | – | FL | Yes |
Practice location
334 South Hyde Park AveTampa, FL 33606
Phone 813-434-1273 · Fax 813-434-1533
Mailing address
334 South Hyde Park AveTampa, FL 33606
Phone 813-434-1273 · Fax 813-434-1533
Authorized official
Eduardo Garrido
Ceo
8134341273
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