Organization Active NPI

Belizima Aesthetics & Wellness, LLC.

  • Primary Care Clinic/Center
  • Tampa, FL
National Provider Identifier
1669234886
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
BELIZIMA AESTHETICS & WELLNESS, LLC.
Practice address
7603 Gunn Hwy Ste D
Tampa, FL 33625-3164
Phone
(813) 751-5691
Fax
(866) 728-3617
NPI assigned
Jan 24, 2024
Last updated
Sep 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Authorized official

Name
Ann-Marie Harris, APRNNPI 1104589027
Title
Owner
Phone
(813) 751-5691

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

7603 Gunn Hwy Ste D
Tampa, FL 33625-3164

Mailing address

3803 Shoreside Cir
Tampa, FL 33624-2310
Phone (813) 751-5691

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241203003865 FL Part B Supplier - Clinic/Group Practice 4981130788 Receives reassigned benefits from 1 practitioner
Practice locations: Tampa, FL

National Provider Directory

National Provider Directory

Locations

7603 Gunn Hwy
Ste D
Tampa, FL 33625
Phone (813) 751-5691

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1706054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758585600000",
    "number": "1669234886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3803 SHORESIDE CIR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336242310",
            "telephone_number": "813-751-5691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7603 GUNN HWY STE D",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336253164",
            "telephone_number": "813-751-5691",
            "fax_number": "866-728-3617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELIZIMA AESTHETICS & WELLNESS, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-24",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "ANN-MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-751-5691",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Sep 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.