LABELLE MEDSPA & WELLNESS CENTER – NPI #1548021314
Clinic/Center

LABELLE MEDSPA & WELLNESS CENTER is an AHC clinic located in LABELLE, FL. NPPES has assigned the NPI number 1548021314 to LABELLE MEDSPA & WELLNESS CENTER on January 18, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “LABELLE MEDSPA & WELLNESS CENTER” is a dba name, the actual legal business name for this organization is MEDSPA & PRIMARY CARE LLC. The primary taxonomy selected by this provider is 261QH0100X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Health Service

The NPI profile was previously updated about 2 years ago on Mar 27, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LABELLE MEDSPA & WELLNESS CENTER below.

NPI Profile for
MEDSPA & PRIMARY CARE LLC

NPI Number
1548021314
Enumeration Date

(more than 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MEDSPA & PRIMARY CARE LLC
Doing Business As (dba): LABELLE MEDSPA & WELLNESS CENTER
Primary location
825 E COWBOY WAY STE 106
LABELLE, FL 33935-4491
Phone: (863) 230-8163 Fax: (863) 230-8273
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
AHITZA CARRAZANA ESTRADA
APRN
Phone: (863) 230-8163
Updated
Certification Date
Mar 27, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QH0100X
- Clinic/Center / Health Service (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.