| Health & Glow Primary Care & Med Spa Llc | |
|
4331 S Manhattan Ave Tampa FL 33611 | |
| (813) 832-4569 | |
| (833) 974-2491 |
| Full Name | Health & Glow Primary Care & Med Spa Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4331 S Manhattan Ave, Tampa, Florida |
| Authorized Official Name and Position | Swapna Kallikadan (OWNER) |
| Authorized Official Contact | 8138324569 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Health & Glow Primary Care & Med Spa Llc 4331 S Manhattan Ave Tampa FL 33611 Ph: (813) 832-4569 | Health & Glow Primary Care & Med Spa Llc 4331 S Manhattan Ave Tampa FL 33611 Ph: (813) 832-4569 |
| NPI Number | 1912519224 |
|---|---|
| Provider Enumeration Date | 08/18/2020 |
| Last Update Date | 09/06/2023 |
| Medicare PECOS PAC ID | 0941629935 |
|---|---|
| Medicare Enrollment ID | O20200924000780 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912519224 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Swapna M Kallikadan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750694584 PECOS PAC ID: 1759517931 Enrollment ID: I20131118000599 |
| Provider Name | Allison Webb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427674621 PECOS PAC ID: 9638595226 Enrollment ID: I20230531001630 |
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