Healthcare Provider Details

I. General information

NPI: 1386435329
Provider Name (Legal Business Name): AURORA RESEARCH CENTER, CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2025
Last Update Date: 05/16/2025
Certification Date: 05/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2715 W SLIGH AVE
TAMPA FL
33614-4343
US

IV. Provider business mailing address

8809 W HAMILTON AVE
TAMPA FL
33615-2723
US

V. Phone/Fax

Practice location:
  • Phone: 813-444-1600
  • Fax: 813-295-8029
Mailing address:
  • Phone: 813-444-1600
  • Fax: 813-295-8029

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WM1400X
TaxonomyNurse Massage Therapist (NMT)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QP3300X
TaxonomyPain Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ANISLEY LANZA DIAZ
Title or Position: PRESIDENT
Credential: RN
Phone: 813-403-2567