# BLUE HORSESHOE WELLNESS, INC

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

## Provider details

- **NPI number:** 1609212299
- **Authorized official:** MR. EDUARDO GARRIDO JR. PA (CEO)
- **Authorized official phone:** (813) 434-1273

## Contact information

- **Practice address:** 334 SOUTH HYDE PARK AVE, TAMPA, FL 33606
- **Practice address phone:** (813) 434-1273
- **Practice address fax:** (813) 434-1533
- **Mailing address:** 334 SOUTH HYDE PARK AVE, TAMPA, FL 33606
- **Mailing address phone:** (813) 434-1273
- **Mailing address fax:** (813) 434-1533

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | FL | Yes |

## Other

- **Enumeration date:** 05/22/2013
- **Last updated:** 05/22/2013
