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General NPI Number Information
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NPI Number | 1154285781
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Entity Type | Organization
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Legal Business Name | HEALENCE MEDICAL CENTER LLC
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Dates
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Enumeration Date | 12/09/2025
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 16514 N DALE MABRY HWY
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City | TAMPA
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State | FL
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Zip | 33618-1325
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Country | US
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Telephone | 954-558-6757
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Fax |
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Provider Business Mailing Address
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Address Line | 16514 N DALE MABRY HWY
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City | TAMPA
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State | FL
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Zip | 33618-1325
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | NATHALIE GONGORA
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Credential |
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Telephone | 954-558-6757
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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