NPIMap

Organization Active NPI

Lara Health and Wellness Center LLC

  • Multi-Specialty Clinic/Center
  • Tampa, FL
National Provider Identifier
1104457977
Registry record updated Feb 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
LARA HEALTH AND WELLNESS CENTER LLC
Practice address
3105 W Waters Ave Ste 105
Tampa, FL 33614-2846
Phone
(813) 443-0705
Fax
(813) 415-2982
NPI assigned
Jan 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Yonaika Lara
Title
Owner
Phone
(813) 415-2982

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

3105 W Waters Ave Ste 105
Tampa, FL 33614-2846

Mailing address

3105 W Waters Ave Ste 105
Tampa, FL 33614-2846

Other names 1

  • Lara Health and Wellness Center, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

3105 W Waters Ave
Ste 105
Tampa, FL 33614
Phone (813) 443-0705

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1580342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581033600000",
    "number": "1104457977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3105 W WATERS AVE STE 105",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336142846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 W WATERS AVE STE 105",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336142846",
            "telephone_number": "813-443-0705",
            "fax_number": "813-415-2982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARA HEALTH AND WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-30",
        "last_updated": "2020-02-07",
        "certification_date": "2020-02-07",
        "status": "A",
        "authorized_official_last_name": "LARA",
        "authorized_official_first_name": "YONAIKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-415-2982"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lara Health and Wellness Center, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lara Health and Wellness Center, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.