Body & Soul Medical Spa Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

BODY & SOUL MEDICAL SPA INC

Practice address

4123 N Armenia Ave
Tampa, FL 33607-6433

Phone

(813) 605-2018

NPI assigned

Feb 4, 2021

Last updated

Feb 4, 2021By 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

Adian Linares

Title

Owner

Phone

(813) 605-2018

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1612396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612396800000",
    "number": "1568054294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4123 N ARMENIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076433",
            "telephone_number": "813-605-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4123 N ARMENIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076433",
            "telephone_number": "813-605-2018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY & SOUL MEDICAL SPA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-04",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A",
        "authorized_official_last_name": "LINARES",
        "authorized_official_first_name": "ADIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-605-2018"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "bodyandsoulmedicalspa@gmail.com",
            "affiliation": "N",
            "address_1": "4123 N Armenia Ave",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336076433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hannah Elizabeth Bodenhorn, LMHC
• Phoebe Leo Bodewig
• Josephine A Bodi, NP
• Daniel Wayne Bodkin, PT,DPT,ATC
• Maryann Bodnar, LMHC, CAP,CSAT, CPTT
• Body Contouring Inc
• Body Envi Weight Loss & Wellness II
• Body Envi Wellness LLC
• Body Healing Therapy Center, Inc.
• Body Healthcare Center LLC

• 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 Feb 4, 2021; 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.