MEDICARE: NEXT LEVEL HYDRATION INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1225914732
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEXT LEVEL HYDRATION INC

Provider Business Mailing Address
First Line	:	5005 W LAUREL ST STE 100-2046
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33607-3886
Country	:	US
Telephone Number	:	888-255-0813
Fax Number	:

Provider Business Practice Location Address
First Line	:	11517 PALMETTO PINE ST
Second Line	:
City	:	RIVERVIEW
State	:	FL
Zip	:	33569-6229
Country	:	US
Telephone Number	:	888-255-0813
Fax Number	:

Authorized Official
Title or Position	:	FOUNDER AND DIRECTOR
Name	:	TANTANISHA MITCHELL
Credential	:	RN
Telephone Number	:	888-255-9813

Provider Enumeration Date	:	08/12/2025
Last Update Date	:	08/12/2025

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Directions to “NEXT LEVEL HYDRATION INC ” Practice Location

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