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Organization
LARA HEALTH AND WELLNESS CENTER LLC
Active
Organization
LARA HEALTH AND WELLNESS CENTER LLC
Active
Other names
Lara Health and Wellness Center, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
YONAIKA LARA (OWNER)
(813) 415-2982
Entity
Organization
Contact information
Practice address
3105 W WATERS AVE STE 105, TAMPA, FL 33614-2846
(813) 443-0705
(813) 415-2982
Mailing address
3105 W WATERS AVE STE 105, TAMPA, FL 33614-2846
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
01/30/2020
Last updated
02/07/2020
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