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Organization
HEALTH & GLOW PRIMARY CARE & MED SPA LLC
Active
Organization
HEALTH & GLOW PRIMARY CARE & MED SPA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SWAPNA KALLIKADAN MD (OWNER)
(813) 832-4569
Entity
Organization
Contact information
Practice address
4331 S MANHATTAN AVE, TAMPA, FL 33611
(813) 832-4569
(833) 974-2491
Mailing address
4331 S MANHATTAN AVE, TAMPA, FL 33611
(813) 832-4569
(833) 974-2491
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
08/18/2020
Last updated
09/06/2023
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