NPIMap

Organization Active NPI

Advanced Healing Center LLC.

  • Clinic/Center
  • Tampa, FL
National Provider Identifier
1891923926
Registry record updated Jun 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
MA51130 Issued in FL
Legal business name
ADVANCED HEALING CENTER LLC.
Practice address
2942 W Columbus Dr
Suite 106/107
Tampa, FL 33607-2275
Phone
(813) 443-5378
Fax
(813) 443-5379
NPI assigned
Jun 26, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2009

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

Authorized official

Name
Lahkim Shabazz
Title
Owner
Phone
(813) 443-5378

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X MA51130 FL Primary

Addresses

Primary practice location

2942 W Columbus Dr
Suite 106/107
Tampa, FL 33607-2275

Mailing address

2942 W Columbus Dr
Suite 106/107
Tampa, FL 33607-2275
Phone (813) 443-5378

National Provider Directory

National Provider Directory
Tax ID family
Advanced Healing Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1245974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245974400000",
    "number": "1891923926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2942 W COLUMBUS DR",
            "address_2": "SUITE 106/107",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336072275",
            "telephone_number": "813-443-5378",
            "fax_number": "813-443-5379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2942 W COLUMBUS DR",
            "address_2": "SUITE 106/107",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336072275",
            "telephone_number": "813-443-5378",
            "fax_number": "813-443-5379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED HEALING CENTER LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-26",
        "last_updated": "2009-06-26",
        "status": "A",
        "authorized_official_last_name": "SHABAZZ",
        "authorized_official_first_name": "LAHKIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-443-5378"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "MA51130",
            "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 Jun 26, 2009; 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.