Privileged Faces, LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

PRIVILEGED FACES, LLC

Doing business as

Glowmour Beauty

Practice address

701 W Dr Martin Luther King Jr Blvd Ste 6
Tampa, FL 33603-3100

Phone

(813) 693-2328

NPI assigned

Oct 23, 2024

Organization subpart

No

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

Authorized official

Name

Kimberly Blackmon

Title

Owner

Phone

(334) 714-3249

Specialties & licenses 2

Addresses

Other names 1

• Glowmour Beauty Doing business as

Locations

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

{
    "created_epoch": "1729641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729641600000",
    "number": "1609697580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 W DR MARTIN LUTHER KING JR BLVD STE 6",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336033100",
            "telephone_number": "813-693-2328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 W DR MARTIN LUTHER KING JR BLVD STE 6",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336033100",
            "telephone_number": "813-693-2328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIVILEGED FACES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-23",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A",
        "authorized_official_last_name": "BLACKMON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-714-3249"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glowmour Beauty",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Printha MD Internal Medicine Inc
• Judith Prior
• Priority Care LLC
• Jennifer Michelle Prisella, CRNA
• Amber Lynn Privett, MSW, RCSWI, CWCM
• Pro Health Services, Inc.
• Pro Health, Inc
• Jose Miguel Pro Landazuri, MD
• Pro Medical & Rehabilitation Center Inc
• Pro-Active Physical Therapy, Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; 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.