Healthcare Provider Details

I. General information

NPI: 1821744228
Provider Name (Legal Business Name): LIMITLESS LABS SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2022
Last Update Date: 06/26/2024
Certification Date: 06/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12610 HENDERSON RD STE 4
TAMPA FL
33625-6548
US

IV. Provider business mailing address

12610 HENDERSON RD # 4
TAMPA FL
33625-6548
US

V. Phone/Fax

Practice location:
  • Phone: 813-466-5439
  • Fax: 813-925-4272
Mailing address:
  • Phone: 813-466-5439
  • Fax: 813-925-4272

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number State

VIII. Authorized Official

Name: TAMIKA T FLOYD
Title or Position: OWNER
Credential:
Phone: 813-466-5439