| Belizima Aesthetics & Wellness, Llc. | |
|
7603 Gunn Hwy Ste D Tampa FL 33625-3164 | |
| (813) 751-5691 | |
| Not Available |
| Full Name | Belizima Aesthetics & Wellness, Llc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 7603 Gunn Hwy Ste D, Tampa, Florida |
| Authorized Official Name and Position | Ann-marie Harris (OWNER) |
| Authorized Official Contact | 8137515691 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Belizima Aesthetics & Wellness, Llc. 3803 Shoreside Cir Tampa FL 33624-2310 Ph: (813) 751-5691 | Belizima Aesthetics & Wellness, Llc. 7603 Gunn Hwy Ste D Tampa FL 33625-3164 Ph: (813) 751-5691 |
| NPI Number | 1669234886 |
|---|---|
| Provider Enumeration Date | 01/24/2024 |
| Last Update Date | 12/12/2024 |
| Medicare PECOS PAC ID | 4981130788 |
|---|---|
| Medicare Enrollment ID | O20241203003865 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669234886 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Ann-marie Sherry Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104589027 PECOS PAC ID: 3274924279 Enrollment ID: I20211230001311 |
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