BELIZIMA AESTHETICS & WELLNESS
NPI 1174755631
Nurse Practitioner - Family in Tampa, FL

Active since August 18, 2009CLIA 10D2320478 · Waiver
7603 GUNN HWY STE D, TAMPA, FL 33625(813) 751-5691(866) 422-1671 Get Directions Write a Review

NPPES record last updated: April 5, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 5, 2023, Oct 18, 2021 (2 updates tracked since 2021).

About Belizima Aesthetics & Wellness NPPES

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

BELIZIMA AESTHETICS & WELLNESS (NPI 1174755631) is a healthcare organization registered as a family in Tampa, Florida and active in the NPI registry since August 2009. The organization holds a CLIA Waiver certificate valid through March 18, 2027 and lists Ann-marie Sherry Harris-polanco, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1174755631
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameSPA BELIZIMA
Location Address7603 GUNN HWY STE DTampa, FL 33625-3164
Mailing Address7603 Gunn Hwy Ste DTampa, FL 33625-3164 · (813) 751-5691 · Fax (866) 422-1671
Fax(866) 422-1671
Organization SubpartYes
Authorized OfficialAnn-marie Sherry Harris-polancoNurse Practitioner · (813) 751-5691
Enumeration DateAugust 18, 2009
Last NPPES UpdateApril 5, 20232 updates tracked since enumeration
NPPES CertifiedApril 5, 2023
NPI 1174755631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedNursing CareTaxonomy 251J00000X · License 080609 (FL)
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
7603 GUNN HWY STE D, Tampa, FL 33625

Other Names 1

Doing Business AsBelizima Aesthetics & Wellness

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2320478

Belizima Aesthetics & Wellness Inc · Tampa, FL
Active · expires Mar 18, 2027
CLIA Number10D2320478
Laboratory TypePractitioner Other
Certificate Effective DateMarch 19, 2025
Certificate Expiration DateMarch 18, 2027
Laboratory DirectorAnn Marie S. Harris
Laboratory Phone(813) 751-5691
Laboratory LocationBelizima Aesthetics & Wellness Inc7603 Gunn Hwy, Unit D, Tampa, FL 33625
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Primary Care)
7603 GUNN HWY STE D
TAMPA, FL 33625
Clinic/Center (Primary Care)
7603 GUNN HWY STE D
TAMPA, FL 33625

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 Spa Belizima's NPI number?

The NPI number for Spa Belizima is 1174755631. It was assigned to this organization in the NPPES registry on August 18, 2009. The provider is doing business as Belizima Aesthetics & Wellness.

Where is Spa Belizima located?

Spa Belizima is located at 7603 Gunn Hwy Ste D, Tampa, FL 33625. The listed phone number is (813) 751-5691.

What is Spa Belizima's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Spa Belizima hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2320478) is associated with this NPI, valid through March 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Spa Belizima was last updated on April 5, 2023. 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.