1. Home
  2. Directory
  3. Florida
  4. Tampa
  5. Clinic Center
  6. NPI Profile

HEAVEN WELLNESS MEDICAL CENTER, INC.
NPI 1053034298
Clinic/Center in Tampa, FL

Active since September 22, 2022
11961 N FLORIDA AVE STE B, TAMPA, FL 33612(813) 415-2891(813) 443-3149 Get Directions Write a Review

NPPES record last updated: September 22, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Heaven Wellness Medical Center, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEAVEN WELLNESS MEDICAL CENTER, INC. (NPI 1053034298) is a healthcare organization registered as a clinic/center in Tampa, Florida and active in the NPI registry since September 2022. The organization lists Lazara Hurtado Hernandez, Owner, as its authorized official.

NPPES Registry Identity

NPI1053034298
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameHEAVEN WELLNESS MEDICAL CENTER, INC.
Location Address11961 N FLORIDA AVE STE BTampa, FL 33612-5213
Mailing AddressPo Box 15542Tampa, FL 33684-5542 · (813) 415-2891 · Fax (813) 443-3149
Phone(813) 415-2891
Fax(813) 443-3149
Organization SubpartNo
Authorized OfficialLazara Hurtado HernandezOwner · (813) 409-9457
Enumeration DateSeptember 22, 2022
NPPES CertifiedSeptember 22, 2022
✔ NPI 1053034298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X
Also ListedClinic/Center · Physical TherapyTaxonomy 261QP2000X
Also ListedClinic/Center · RehabilitationTaxonomy 261QR0400X
11961 N FLORIDA AVE STE B, Tampa, FL 33612
Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Heaven Wellness Medical Center, Inc.'s NPI number?

The NPI number for Heaven Wellness Medical Center, Inc. is 1053034298. It was assigned to this organization in the NPPES registry on September 22, 2022.

Where is Heaven Wellness Medical Center, Inc. located?

Heaven Wellness Medical Center, Inc. is located at 11961 N Florida Ave Ste B, Tampa, FL 33612. The listed phone number is (813) 415-2891.

What is Heaven Wellness Medical Center, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Heaven Wellness Medical Center, Inc. was last updated on September 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.