Healthy-Glow Wellness Center LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA 57747 Issued in FL

Legal business name

HEALTHY-GLOW WELLNESS CENTER LLC

Practice address

4511 N Himes Ave
Ste 200
Tampa, FL 33614-7074

Phone

(813) 449-4414

Fax

(813) 873-2330

NPI assigned

Jun 21, 2010

Last updated

Oct 26, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Guildford Joe Thomas, LMTNPI 1831428622

Title

Sole MBR

Phone

(813) 449-4414

Specialties & licenses 1

Addresses

Locations

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.

• Guildford Joe Thomas, L.M.T.

  • Massage Therapist
  • Tampa, FL
  • NPI 1831428622
  Authorized official Same address or phone

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

{
    "created_epoch": "1277078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288051200000",
    "number": "1275854564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4511 N HIMES AVE",
            "address_2": "STE 200",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336147074",
            "telephone_number": "813-449-4414",
            "fax_number": "813-873-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4511 N HIMES AVE",
            "address_2": "STE 200",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336147074",
            "telephone_number": "813-449-4414",
            "fax_number": "813-873-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY-GLOW WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-21",
        "last_updated": "2010-10-26",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "GUILDFORD",
        "authorized_official_middle_name": "JOE",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "813-449-4414",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "MA 57747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Tampa, FL
• Providers in Tampa, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2010; 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.