Body Image Laser Institute

Primary specialty

SpecialistTaxonomy code 174400000X

License

1686410000 Issued in FL

Legal business name

BODY IMAGE LASER INSTITUTE

Practice address

2801 S Macdill Ave
Tampa, FL 33629-7223

Phone

(813) 871-6465

Fax

(813) 470-7991

NPI assigned

Apr 19, 2007

Last updated

Aug 22, 2020By 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

Dr. Jay J Garcia, MD

Title

President Owner

Phone

(813) 871-6465

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Yaneisy Fumero, ARNP

  • Family Nurse Practitioner
  • Tampa, FL
  • NPI 1710414800
  NPD (past)
• Eli Rose, M.D.

  • Gynecology Physician
  • Tampa, FL
  • NPI 1104960665
  NPD (past)

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992922488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 S MACDILL AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336297223",
            "telephone_number": "813-871-6465",
            "fax_number": "813-470-7991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 S MACDILL AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336297223",
            "telephone_number": "813-871-6465",
            "fax_number": "813-470-7991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY IMAGE LASER INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "813-871-6465",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "1686410000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Body Contouring Inc
• Body Envi Weight Loss & Wellness II
• Body Envi Wellness LLC
• Body Healing Therapy Center, Inc.
• Body Healthcare Center LLC
• Body Rehab LLC
• Body Total Health Care Center
• Ailiz Bodzo, PA-C
• Eric Michael Boe, DMD
• Sydney Rae Boehnlein, MS, RD, LD, CSSD

• Specialist in Tampa, FL
• Providers in Tampa, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.