Organization
LOTUS PATH WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA E BELLUCCIO DOM, AP (OWNER)
(813) 964-0847
Entity
Organization
Contact information
Practice address
3642 MADACA LN, TAMPA, FL 33618-2057
(813) 964-0847
(813) 964-0831
Mailing address
3642 MADACA LN, TAMPA, FL 33618-2057
(813) 964-0847
(813) 964-0831
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
AP1690
FL
Other
Enumeration date
04/29/2014
Last updated
04/29/2014
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