Belleair Wellness Center & Spa

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

OS4234 Issued in FL

Legal business name

BELLEAIR WELLNESS CENTER & SPA

Practice address

2130 W Bay Dr
Largo, FL 33770-1927

Phone

(727) 584-8020

Fax

(727) 584-8023

NPI assigned

Feb 4, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Sheryl Marie Haynes, D.O.

Title

Doctor/Owner

Phone

(727) 584-8020

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1423008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427241600000",
    "number": "1770973224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 W BAY DR",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337701927",
            "telephone_number": "727-584-8020",
            "fax_number": "727-584-8023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 W BAY DR",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337701927",
            "telephone_number": "727-584-8020",
            "fax_number": "727-584-8023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLEAIR WELLNESS CENTER & SPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-04",
        "last_updated": "2015-03-25",
        "status": "A",
        "authorized_official_last_name": "HAYNES",
        "authorized_official_first_name": "SHERYL",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "727-584-8020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "OS4234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "065614300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terry Wayne Bell, MD
• Tiffany P Bell, DNP, PMHNP
• Harley Scott Bellack, DDS
• Belle Oak Bracing, Inc
• Belle Vista Bluffs, Inc.
• Sabita Bellur
• Reece Belmont
• Benign Care. LLC
• Ellen Maria N/a Benitah Bulbarelli, M.D
• Jordan Ashley Bennett

• General Practice Physician in Largo, FL
• Providers in Largo, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2015; 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.