# TAMPA BAY HOLISTIC WELLNESS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336792894
- **Authorized official:** MS. DAWN ANN MOLINA DOM (OWNER)
- **Authorized official phone:** (813) 513-4248

## Contact information

- **Practice address:** 1607 N MARION ST, TAMPA, FL 33602-2638
- **Practice address phone:** (813) 513-4248
- **Practice address fax:** (813) 513-3903
- **Mailing address:** 1607 N MARION ST, TAMPA, FL 33602-2638
- **Mailing address phone:** (813) 513-4248
- **Mailing address fax:** (813) 513-3903

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133N00000X | Nutritionist | — | — | — |
| 133NN1002X | Nutrition Education Nutritionist | — | — | — |
| 171100000X | Acupuncturist | — | — | Yes |
| 174H00000X | Health Educator | — | — | — |
| 2083S0010X | Sports Medicine (Preventive Medicine) Physician | — | — | — |
| 225400000X | Rehabilitation Practitioner | — | — | — |
| 225700000X | Massage Therapist | — | — | — |
| 226300000X | Kinesiotherapist | — | — | — |
| 405300000X | Prevention Professional | — | — | — |

## Other

- **Enumeration date:** 07/23/2019
- **Last updated:** 07/23/2019