Masai Wellness LLC
Internal Medicine in Tampa, FL. Organization (NPI-2).
NPI number1851663298
StatusActive
Last updated in NPPESAug 2, 2016
Details
- NPI
- 1851663298
- Entity type
- Organization (NPI-2)
- Legal business name
- Masai Wellness LLC
- Organization subpart
- No
- Enumeration date
- Feb 1, 2012
- Last updated
- Aug 2, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | ME101036 | FL | Yes |
Practice location
7444 Palm River RdTampa, FL 33619-4128
Phone 813-600-9981
Mailing address
3218 W Horatio StTampa, FL 33609
Phone 813-600-9981
Authorized official
Theophilus Torgbor Sai
Founder And Ceo
8136009981
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