Organization
LEHEAL BIOGENIX HQ LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY HEALD (CEO)
(813) 505-6921
Entity
Organization
Contact information
Practice address
2007 W SWANN AVE, TAMPA, FL 33606-2483
(813) 505-6921
Mailing address
8310 REVELS RD, RIVERVIEW, FL 33569-4724
(813) 505-6921
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2083S0010X
Sports Medicine (Preventive Medicine) Physician
Primary
—
—
261QP3300X
Pain Clinic/Center
—
—
Other
Enumeration date
03/07/2025
Last updated
03/07/2025
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