LARA HEALTH AND WELLNESS CENTER LLC (NPI# 1104457977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104457977 |
| Entity Type | Organization |
| Organization Name | LARA HEALTH AND WELLNESS CENTER LLC |
| Other Organization Name | LARA HEALTH AND WELLNESS CENTER, LLC |
| Practice Address |
3105 W Waters Ave Ste 105 Tampa FL 33614-2846 |
| Practice Telephone | 8134430705 |
| Practice Fax Number | 8134152982 |
| Enumeration Date | 2020-01-30 |
| Last Update Date | 2020-02-07 |
| Authorized Official Name | YONAIKA LARA (OWNER) |
| Authorized Official Telephone | 8134152982 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Lara Health and Wellness Center, LLC | Doing Business As Name - Organization |
| Street Address |
3105 W WATERS AVE STE 105 |
| City | TAMPA |
| State | FL |
| Zip Code | 33614-2846 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134733082 | Robin Rollena Stewart | Home Health | 9537 Lazy Lane, Apt 302, Tampa, FL 33614 | 2020-09-08 |
| 1346885761 | David Joseph Page | Nurse Practitioner | St. Joseph's Behavioral Health Center, 4918 N. Habana Ave, Tampa, FL 33614 | 2019-11-08 |
| 1134687411 | Ramon Chang Adult Family Care Home LLC | Custodial Care Facility | 2607 W Humphrey St, Tampa, FL 33614 | 2019-03-06 |
| 1134600612 | Senior Point Assisted Living Facility, LLC | Assisted Living Facility | 2940 W Hillsborough Ave, Tampa, FL 33614 | 2018-08-23 |
| 1306361266 | Larry Valdes | Assisted Living Facility | 4402 W Minnehaha St, Tampa, FL 33614 | 2017-08-11 |
| 1982128062 | Jaime F Casellas Md Corp | Internal Medicine | 4600 N Habana Ave Suit #13, Tampa, FL 33614 | 2017-07-31 |
| 1891219119 | Waveney Gittens-williams | Alzheimer Center (Dementia Center) | 3706 W. Idle Wild Cir #203, Tampa, FL 33614 | 2017-07-28 |
| 1750811857 | Syerita Nicole Morris | Counselor | 6800 N Dale Marby Hwy, Ste 164, Tampa, FL 33614 | 2017-06-13 |
| 1447786124 | Lisa Moy | Case Manager/Care Coordinator | 4001 W. Dr. Martin Luther King Jr. Blvd., Tampa, FL 33614 | 2017-05-02 |
| 1750813804 | Joshua Martin Good | Physical Therapy Assistant | 3363 W. Waters Avenue, Suite 700, Tampa, FL 33614 | 2017-03-29 |
| Find all providers in zip 33614 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1023664059 | Guidewell Sanitas I, LLC | Clinic/Center | 12845 Citrus Plaza Dr, Tampa, FL 33625-3010 | 2019-08-15 |
| 1477119519 | Shilo LLC | Clinic/Center | 10549 N Florida Ave Ste J, Tampa, FL 33612-6707 | 2019-05-14 |
| 1285126763 | Ethos Health Tampa 1, LLC | Clinic/Center | 4600 N Habana Ave Ste 25, Tampa, FL 33614-7123 | 2018-05-31 |
| 1700387479 | Forcare Medical Group, Inc. | Clinic/Center | 15402 N Florida Ave, Tampa, FL 33613-1244 | 2018-02-27 |
| 1609212299 | Blue Horseshoe Wellness, Inc | Clinic/Center | 334 South Hyde Park Ave, Tampa, FL 33606 | 2013-05-22 |
| 1457521601 | West Coast Chiropractic & Medical Center, Inc. | Clinic/Center | 8502 N Armenia Ave, Suite 2b, Tampa, FL 33604-2567 | 2008-03-04 |
| 1326221151 | Mobilelab,co | Clinic/Center | 2301 E Sligh Ave, Suite 39, Tampa, FL 33610-1336 | 2007-12-15 |
| 1174736995 | Hyde Park Counseling Center | Clinic/Center | 207 W Verne St, Tampa, FL 33606-2332 | 2007-05-08 |
| 1427197250 | Doctors R Us Walk-in Clinic, Inc. | Clinic/Center | 6821 W Hillsborough Ave, #19, Tampa, FL 33634-5003 | 2007-02-06 |
| Find all providers in TAMPA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.