Organization
BODY TOTAL HEALTH CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MYDOLLY ESCALONA (OWNER)
(813) 443-8342
Entity
Organization
Contact information
Practice address
1412 W WATERS AVE STE 204, TAMPA, FL 33604-2802
(813) 443-8342
Mailing address
1412 W WATERS AVE STE 204, TAMPA, FL 33604-2802
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
11/19/2010
Last updated
11/19/2010
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