HEALTH & GLOW PRIMARY CARE & MED SPA LLC (NPI# 1912519224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912519224 |
| Entity Type | Organization |
| Organization Name | HEALTH & GLOW PRIMARY CARE & MED SPA LLC |
| Practice Address |
4331 S Manhattan Ave Tampa FL 33611 |
| Practice Telephone | 8138324569 |
| Mailing Telephone | 8138324569 |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2020-11-09 |
| Authorized Official Name | SWAPNA KALLIKADAN (OWNER) |
| Authorized Official Telephone | 8138324569 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4331 S Manhattan Ave, Tampa, FL 33611 | 9175962300 |
| Street Address |
4331 S MANHATTAN AVE |
| City | TAMPA |
| State | FL |
| Zip Code | 33611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245867597 | Susannah M Bultron | Home Health | 1663 Williambrg Sq, 1663 Williambrg Sq, Tampa, FL 33611 | 2020-03-26 |
| 1265077499 | Jenna Davis | Counselor | 4517 S Shamrock Rd, Tampa, FL 33611 | 2019-11-12 |
| 1023585114 | Samantha Lee Hamlin | Dietitian, Registered | 4003 S West Shore Blvd, Apt 4810, Tampa, FL 33611 | 2018-10-27 |
| 1023502572 | Sunset Chiropractic P.a. | Chiropractor | 3826 South Dale Mabry Hwy, South Tampa, FL 33611 | 2018-06-19 |
| 1033654843 | Nicole A Devlieger | Specialist/Technologist | 4539 S Dale Mabry Hwy Ste 110, Tampa, FL 33611 | 2017-01-03 |
| 1740633064 | Charles Lindsey | Case Manager/Care Coordinator | 5215 South Westshore Blvd. #31, Tampa, FL 33611 | 2016-07-21 |
| 1699145078 | Sarah Milam | Physical Therapist | 3111 W.martin Luther King Jr Blvd, Suite # 500, Tampa, FL 33611 | 2015-09-29 |
| 1912399163 | Robert Robertson | Pharmacist | 4317 Gandy Blvd, Tampa, FL 33611 | 2015-02-25 |
| 1730514225 | Charles Samuel Mahan | Obstetrics & Gynecology | 3111 E. Fletcher Av., Tampa, FL 33611 | 2013-09-04 |
| 1518217850 | Sicily George | Case Manager/Care Coordinator | 4815 W. Bayvilla Avenue, Tampa, FL 33611 | 2012-09-13 |
| Find all providers in zip 33611 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326665779 | Complete Integrative Medical Clinic, LLC. | Internal Medicine | 2835 W De Leon St Ste 102, Tampa, FL 33609-4130 | 2020-07-01 |
| 1649807553 | Physician Partners Associated, LLC | Internal Medicine | 4704 N Armenia Ave, Tampa, FL 33603-2619 | 2020-03-23 |
| 1417583956 | William F Mcgrogan Md Pllc | Internal Medicine | 2919 W Swann Ave Ste 402, Tampa, FL 33609-4083 | 2020-03-17 |
| 1679120471 | Printha Md Internal Medicine Inc | Internal Medicine | 5420 Webb Rd Ste B1, Tampa, FL 33615-3255 | 2019-08-26 |
| 1184185001 | A Plus Medcare LLC | Internal Medicine | 7211 N Dale Mabry Hwy Ste 100, Tampa, FL 33614-2669 | 2019-03-26 |
| 1770040685 | Skalan LLC | Internal Medicine | 14917 Smitter Reserve Dr, Tampa, FL 33618-2205 | 2019-02-27 |
| 1720545981 | Amante Medical and Diabetic Center, P.a. | Internal Medicine | 1001 N Macdill Ave. Suite B, Tampa, FL 33607 | 2019-02-25 |
| 1568926038 | Karadayi Health Inc | Internal Medicine | 2916 W Bayshore Ct, Tampa, FL 33611-2808 | 2019-01-29 |
| 1881178242 | Angel Medical Clinic, LLC | Internal Medicine | 8001 N Dale Mabry Hwy Ste 701, Tampa, FL 33614-3218 | 2018-09-21 |
| 1073008579 | Inpatient Specialists Group | Internal Medicine | 3225 S Macdill Ave Ste 129-269, Tampa, FL 33629-8171 | 2018-06-27 |
| Find all providers in TAMPA | ||||
Please comment or provide details below to improve the information on HEALTH & GLOW PRIMARY CARE & MED SPA LLC.
| 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.