Active NPI
Leheal Biogenix HQ LLC
- Sports Medicine (Preventive Medicine) Physician
- Tampa, FL
National Provider Identifier
1497553077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Preventive Medicine) Physician
- Legal business name
- LEHEAL BIOGENIX HQ LLC
- Practice address
- 2007 W Swann Ave
Tampa, FL 33606-2483 - Phone
- (813) 505-6921
- NPI assigned
- Mar 7, 2025
- 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
- Stacey Heald
- Title
- Ceo
- Phone
- (813) 505-6921
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | |||
| Sports Medicine (Preventive Medicine) Physician | 2083S0010X | Primary | ||
| Pain Clinic/Center | 261QP3300X |
Addresses
Primary practice location
2007 W Swann Ave
Tampa, FL 33606-2483
Mailing address
8310 Revels Rd
Riverview, FL 33569-4724
Phone (813) 505-6921
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741305600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1741305600000",
"number": "1497553077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8310 REVELS RD",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "335694724",
"telephone_number": "813-505-6921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2007 W SWANN AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336062483",
"telephone_number": "813-505-6921"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEHEAL BIOGENIX HQ LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-07",
"last_updated": "2025-03-07",
"certification_date": "2025-03-07",
"status": "A",
"authorized_official_last_name": "HEALD",
"authorized_official_first_name": "STACEY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "813-505-6921"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "2083S0010X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Preventive Medicine, Sports Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QP3300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Pain",
"state": null,
"license": null,
"primary": false
}
],
"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 Mar 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.