Organization
HEALTHY-GLOW WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GUILDFORD JOE THOMAS LMT (SOLE MBR)
(813) 449-4414
Entity
Organization
Contact information
Practice address
4511 N HIMES AVE, STE 200, TAMPA, FL 33614-7074
(813) 449-4414
(813) 873-2330
Mailing address
4511 N HIMES AVE, STE 200, TAMPA, FL 33614-7074
(813) 449-4414
(813) 873-2330
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA 57747
FL
Other
Enumeration date
06/21/2010
Last updated
10/26/2010
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