Organization
ANTHONY B FLORESTAL FOUNDATION
Active
Parent organization
ANTHONY B FLORESTAL FOUNDATION
Other names
HRSI HOLISTIC WELLNESS SUPERCENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
ANTHONY B FLORESTAL FOUNDATION
Authorized official
ANTHONY B FLORESTAL BRP (OWNER)
(718) 308-5628
Entity
Organization
Contact information
Practice address
4522 COMMERCIAL WAY SERVICE ROAD, SPRING HILL, FL 34606
(718) 308-5628
Mailing address
14514 DEL VALLE RD, TAMPA, FL 33625-1446
(718) 308-5628
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
251B00000X
Case Management Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251T00000X
PACE Provider Organization
—
—
252Y00000X
Early Intervention Provider Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261Q00000X
Clinic/Center
—
—
261QA0005X
Ambulatory Family Planning Facility
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
261QA0900X
Amputee Clinic/Center
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
06/23/2023
Last updated
06/23/2023
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