Provider Demographics
NPI:1861118606
Name:HEALTH AND BEAUTY INTEGRATICE CENTER, LLC
Entity type:Organization
Organization Name:HEALTH AND BEAUTY INTEGRATICE CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:TONY
Authorized Official - Middle Name:
Authorized Official - Last Name:BELILOVSKIY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-710-0285
Mailing Address - Street 1:4370 S TAMIAMI TRL STE 152
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34231-3412
Mailing Address - Country:US
Mailing Address - Phone:941-933-9474
Mailing Address - Fax:941-921-0957
Practice Address - Street 1:4370 S TAMIAMI TRL STE 151
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34231-3411
Practice Address - Country:US
Practice Address - Phone:941-933-9474
Practice Address - Fax:941-921-0957
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-13
Last Update Date:2022-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center