Organization
BODY ENVI WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY MORERA (CEO)
(813) 888-7710
Entity
Organization
Contact information
Practice address
6904 W LINEBAUGH AVE, TAMPA, FL 33625
(813) 888-7710
Mailing address
13449 CANOPY CREEK DR, TAMPA, FL 33625-5915
(813) 888-7710
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
01/26/2018
Last updated
06/11/2018
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