Organization
ADVANCED HEALING CENTER LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAHKIM SHABAZZ (OWNER)
(813) 443-5378
Entity
Organization
Contact information
Practice address
2942 W COLUMBUS DR, SUITE 106/107, TAMPA, FL 33607-2275
(813) 443-5378
(813) 443-5379
Mailing address
2942 W COLUMBUS DR, SUITE 106/107, TAMPA, FL 33607-2275
(813) 443-5378
(813) 443-5379
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
MA51130
FL
Other
Enumeration date
06/26/2009
Last updated
06/26/2009
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