Organization
HOMELAND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHARON MARIE GRAY (MANAGING MEMBER/CEO)
(813) 433-1669
Entity
Organization
Contact information
Practice address
6601 MEMORIAL HWY, SUITE 219, TAMPA, FL 33615-4501
(813) 433-1669
(813) 433-1724
Mailing address
6601 MEMORIAL HWY, SUITE 219, TAMPA, FL 33615-4501
(813) 433-1669
(813) 433-1724
Taxonomy
Speciality
Code
Description
License number
State
261QC1800X
Corporate Health Clinic/Center
Primary
—
—
Other
Enumeration date
02/24/2010
Last updated
03/23/2010
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