Be Bellus Med Spa

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

BE BELLUS MED SPA

Practice address

6914 W Linebaugh Ave
Suite 102
Tampa, FL 33625

Phone

(813) 963-2888

Fax

(813) 200-1008

NPI assigned

May 15, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Claudia Feananda Conde

Title

Co-Owner/President

Phone

(813) 963-2888

Specialties & licenses 1

Addresses

Other names 1

• Be Bellus Wellness & Aesthetics Doing business as

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

{
    "created_epoch": "1431648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431648000000",
    "number": "1285012773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6914 W LINEBAUGH AVE",
            "address_2": "SUITE #102",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33625",
            "telephone_number": "813-963-2888",
            "fax_number": "813-200-1008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6914 W LINEBAUGH AVE",
            "address_2": "SUITE 102",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33625",
            "telephone_number": "813-963-2888",
            "fax_number": "813-200-1008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BE BELLUS MED SPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-15",
        "last_updated": "2015-05-15",
        "status": "A",
        "authorized_official_last_name": "CONDE",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_middle_name": "FEANANDA",
        "authorized_official_title_or_position": "CO-OWNER/PRESIDENT",
        "authorized_official_telephone_number": "813-963-2888",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Be Bellus Wellness & Aesthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinic/Center in Tampa, FL
• Providers in Tampa, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2015; 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.