Beyondbela Aesthetics & Wellness Corp
Emergency Medicine in Brandon, FL. Organization (NPI-2).
NPI number1700512738
StatusActive
Last updated in NPPESAug 1, 2022
Details
- NPI
- 1700512738
- Entity type
- Organization (NPI-2)
- Legal business name
- Beyondbela Aesthetics & Wellness Corp
- Organization subpart
- No
- Enumeration date
- Aug 1, 2022
- Certification date
- Aug 1, 2022
- Last updated
- Aug 1, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | – | – | Yes |
Practice location
201 E Robertson StBrandon, FL 33511-5234
Phone 813-655-7621
Mailing address
201 E Robertson StBrandon, FL 33511-5234
Phone 813-655-7621
Authorized official
Jessica Villalon
Billing
8133457070
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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