MEDICARE: HEALTHCARE THERAPY CENTER

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	171100000X	Acupuncturist	AP 579	FL

General Provider Information

NPI Number	:	1902856594
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTHCARE THERAPY CENTER

Provider Business Mailing Address
First Line	:	1323 W BUSCH BLVD
Second Line	:	SUITE A
City	:	TAMPA
State	:	FL
Zip	:	33612-7766
Country	:	US
Telephone Number	:	813-931-9311
Fax Number	:	813-249-1544

Provider Business Practice Location Address
First Line	:	1323 W BUSCH BLVD
Second Line	:	SUITE A
City	:	TAMPA
State	:	FL
Zip	:	33612-7766
Country	:	US
Telephone Number	:	813-931-9311
Fax Number	:	813-249-1544

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MAGALY PAEZ DICANIO
Credential	:	A.P. LMT
Telephone Number	:	813-931-9311

Provider Enumeration Date	:	05/12/2006
Last Update Date	:	08/22/2020

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Directions to “HEALTHCARE THERAPY CENTER ” Practice Location

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