Body Total Health Care Center

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

BODY TOTAL HEALTH CARE CENTER

Practice address

1412 W Waters Ave Ste 204
Tampa, FL 33604-2802

Phone

(813) 443-8342

NPI assigned

Nov 19, 2010

Organization subpart

No

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

Authorized official

Name

Mydolly Escalona

Title

Owner

Phone

(813) 443-8342

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1290124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290124800000",
    "number": "1477855609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 W WATERS AVE STE 204",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336042802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 W WATERS AVE STE 204",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336042802",
            "telephone_number": "813-443-8342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY TOTAL HEALTH CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-19",
        "last_updated": "2010-11-19",
        "status": "A",
        "authorized_official_last_name": "ESCALONA",
        "authorized_official_first_name": "MYDOLLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-443-8342"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Body Envi Wellness LLC
• Body Healing Therapy Center, Inc.
• Body Healthcare Center LLC
• Body Image Laser Institute
• Body Rehab LLC
• Ailiz Bodzo, PA-C
• Eric Michael Boe, DMD
• Sydney Rae Boehnlein, MS, RD, LD, CSSD
• Jon P Boettger, P.A.
• Samantha Bogard, DO

• 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 Nov 19, 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.