Organization
TAMPA BAY HOLISTIC WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DAWN ANN MOLINA DOM (OWNER)
(813) 513-4248
Entity
Organization
Contact information
Practice address
1607 N MARION ST, TAMPA, FL 33602-2638
(813) 513-4248
(813) 513-3903
Mailing address
1607 N MARION ST, TAMPA, FL 33602-2638
(813) 513-4248
(813) 513-3903
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
171100000X
Acupuncturist
Primary
—
—
174H00000X
Health Educator
—
—
2083S0010X
Sports Medicine (Preventive Medicine) Physician
—
—
225400000X
Rehabilitation Practitioner
—
—
225700000X
Massage Therapist
—
—
226300000X
Kinesiotherapist
—
—
405300000X
Prevention Professional
—
—
Other
Enumeration date
07/23/2019
Last updated
07/23/2019
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