BELLEAIR WELLNESS CENTER & SPA (NPI# 1770973224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770973224 |
| Entity Type | Organization |
| Organization Name | BELLEAIR WELLNESS CENTER & SPA |
| Practice Address |
2130 W Bay Dr Largo FL 33770-1927 |
| Practice Telephone | 7275848020 |
| Practice Fax Number | 7275848023 |
| Mailing Telephone | 7275848020 |
| Mailing Fax Number | 7275848023 |
| Enumeration Date | 2015-02-04 |
| Last Update Date | 2015-03-25 |
| Authorized Official Name | DR. SHERYL MARIE HAYNES (DOCTOR/OWNER) |
| Authorized Official Telephone | 7275848020 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | OS4234 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 065614300 | 05 |
| Street Address |
2130 W BAY DR |
| City | LARGO |
| State | FL |
| Zip Code | 33770-1927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609084946 | Joel S Christie | Massage Therapist | 2130 W Bay Dr, Largo, FL 33770-1927 | 2007-05-18 |
| 1215148903 | Sheryl Lynne Merz | Massage Therapist | 2130 W Bay Dr, Largo, FL 33770-1927 | 2007-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467005041 | Chelsey Lyn Shepos | Optometrist | 1030 West Bay Dr, Suite 200, Largo, FL 33770 | 2019-07-22 |
| 1407353626 | Michael E Ibrahim | Pharmacist | 1290 West Bay Drive, Largo, FL 33770 | 2018-04-13 |
| 1518413384 | Payton Kuhlenbeck | Anesthesiology | 210 14th Street Sw, Largo, FL 33770 | 2016-08-31 |
| 1639536865 | Ryan Boice | Physical Therapy Assistant | 118 West Bay Drive, Suite 111, Largo, FL 33770 | 2016-01-19 |
| 1508238858 | Alignment Healthcare Florida LLC | Clinic/Center | 1301 2nd Ave., Sw, Largo, FL 33770 | 2015-10-27 |
| 1891161808 | Jessica Nicole Mcglone | Nurse Practitioner | 601 Rosery Rd Ne Apt 1502, Largo, FL 33770 | 2015-08-12 |
| 1033598602 | Demetria Anderson | Counselor | 1301 Seminole Blvd Ste 103, Largo, FL 33770 | 2015-05-28 |
| 1962881821 | Building Blocks Therapy, Pllc | Community/Behavioral Health | 1301 Seminole Blvd Building A Suite 103, Largo, FL 33770 | 2015-05-26 |
| 1457765968 | Summer Moon | Dermatology | 115 Highland Ave N, Largo, FL 33770 | 2014-06-12 |
| 1578982393 | Lauren Elizabeth Grandpre | Emergency Medicine | 201 14th St. Sw, Largo Medical Center Emergency Department, Largo, FL 33770 | 2014-04-09 |
| Find all providers in zip 33770 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427399203 | Charles Robert Kerr | General Practice | 9664 Halyard Dr, Largo, FL 33773-4421 | 2013-03-04 |
| 1568777548 | Lee Laravia | General Practice | 2025 Indian Rocks Rd, Largo, FL 33774 | 2010-08-13 |
| 1275848426 | Dwic of Tampa Bay, Inc. | General Practice | 10500 Ulmerton Road, Suite 202, Largo, FL 33771-3503 | 2010-08-12 |
| 1902995038 | Donald Allen Collins | General Practice | 3800 E Bay Dr, Largo, FL 33771-1937 | 2006-10-12 |
| 1083648703 | Ronald Martin Mall | General Practice | 3800 East Bay Drive, East Bay Medical Center, Largo, FL 33771 | 2006-07-10 |
| 1891143095 | Phillip Robert Braunlich | General Practice | 201 14th St Sw, Largo, FL 33770-3133 | 2016-05-27 |
| 1942684568 | Ryan Alan Schuering | General Practice | 201 14th St Sw, Largo, FL 33770-3133 | 2015-07-14 |
| 1457734493 | Kelly Segars | General Practice | 201 14th St Sw, Largo, FL 33770-3133 | 2015-07-08 |
| 1477930501 | Edel Alvarez Galban | General Practice | 12150 Seminole Blvd, Largo, FL 33778-2833 | 2015-04-27 |
| 1457769044 | Kamiro Holdings, Inc. | General Practice | 10500 Ulmerton Rd, Suite 360, Largo, FL 33771-3544 | 2014-07-26 |
| Find all providers in LARGO | ||||
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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.