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Organization
SPA BELIZIMA
Active
Organization
SPA BELIZIMA
Active
Parent organization
SPA BELIZIMA
Other names
Belizima Aesthetics & Wellness
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPA BELIZIMA
Authorized official
ANN-MARIE SHERRY HARRIS-POLANCO APRN (NURSE PRACTITIONER)
(813) 751-5691
Entity
Organization
Contact information
Practice address
7603 GUNN HWY STE D, TAMPA, FL 33625-3164
(813) 751-5691
(866) 422-1671
Mailing address
7603 GUNN HWY STE D, TAMPA, FL 33625-3164
(813) 751-5691
(866) 422-1671
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
080609
FL
261QP2300X
Primary Care Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/18/2009
Last updated
04/05/2023
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