# AGELESS MEN'S HEALTH HOLDINGS INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Ageless Men's Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992440952
- **Authorized official:** AMANDA WILKINSON (BUSINESS OPERATIONS DIRECTOR)
- **Authorized official phone:** (702) 818-0446

## Contact information

- **Practice address:** 1240 MARBELLA PLAZA DR STE 102, TAMPA, FL 33619-7906
- **Practice address phone:** (904) 379-5052
- **Mailing address:** 1240 MARBELLA PLAZA DR STE 102, TAMPA, FL 33619-7906

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/03/2022
- **Last updated:** 11/22/2024