Provider Demographics
NPI:1861624983
Name:HEALTH-AIDE PAIN & WEIGHT MANAGEMENT INC
Entity type:Organization
Organization Name:HEALTH-AIDE PAIN & WEIGHT MANAGEMENT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:L
Authorized Official - Last Name:CLAY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:813-884-8703
Mailing Address - Street 1:8313 W HILLSBOROUGH AVE
Mailing Address - Street 2:SUITE 260
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33615-3816
Mailing Address - Country:US
Mailing Address - Phone:813-884-8703
Mailing Address - Fax:813-884-8719
Practice Address - Street 1:8313 W HILLSBOROUGH AVE
Practice Address - Street 2:SUITE 260
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33615-3816
Practice Address - Country:US
Practice Address - Phone:813-884-8703
Practice Address - Fax:813-884-8719
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-24
Last Update Date:2009-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS7192261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service