Active NPI
Lotus Path Wellness Center
- Health Service Clinic/Center
- Tampa, FL
National Provider Identifier
1134539273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- License
- AP1690
- Legal business name
- LOTUS PATH WELLNESS CENTER
- Practice address
- 3642 Madaca LN
Tampa, FL 33618-2057 - Phone
- (813) 964-0847
- Fax
- (813) 964-0831
- NPI assigned
- Apr 29, 2014
- Last updated
- Apr 29, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Maria E Belluccio, DOM, AP
- Title
- Owner
- Phone
- (813) 964-0847
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | AP1690 | FL | Primary |
Addresses
Primary practice location
3642 Madaca LN
Tampa, FL 33618-2057
Mailing address
3642 Madaca LN
Tampa, FL 33618-2057
Phone (813) 964-0847
National Provider Directory
National Provider DirectoryLocations
3642 Madaca Ln
Tampa, FL 33618
Phone (813) 609-4000
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
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- Gerton, NC
- NPI 1114141421
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398729600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1398729600000",
"number": "1134539273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3642 MADACA LN",
"city": "TAMPA",
"state": "FL",
"postal_code": "336182057",
"telephone_number": "813-964-0847",
"fax_number": "813-964-0831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3642 MADACA LN",
"city": "TAMPA",
"state": "FL",
"postal_code": "336182057",
"telephone_number": "813-964-0847",
"fax_number": "813-964-0831"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOTUS PATH WELLNESS CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2014-04-29",
"last_updated": "2014-04-29",
"status": "A",
"authorized_official_last_name": "BELLUCCIO",
"authorized_official_first_name": "MARIA",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "813-964-0847",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "DOM, AP"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "FL",
"license": "AP1690",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Apr 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.