PALM WELLNESS CENTER LLC
NPI 1255736831
Clinic/Center - Rehabilitation in Tampa, FL

Active since October 25, 2014CLIA 10D2279940 · Waiver
1004 W. LINEBAUGH AVE, STE #A, TAMPA, FL 33612(813) 443-5370(813) 443-5604 Get Directions Write a Review

NPPES record last updated: October 21, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Palm Wellness Center Llc NPPES

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

PALM WELLNESS CENTER LLC (NPI 1255736831) is a healthcare organization registered as a rehabilitation in Tampa, Florida and active in the NPI registry since October 2014. The organization holds a CLIA Waiver certificate valid through April 10, 2027 and lists Michel Reyes, Ceo, as its authorized official.

NPPES Registry Identity

NPI1255736831
Entity TypeOrganization
Primary Taxonomy261QR0400X
Legal Business NamePALM WELLNESS CENTER LLC
Location Address1004 W. LINEBAUGH AVE, STE #ATampa, FL 33612
Mailing Address8900 N Armenia Ave, Ste#212Tampa, FL 33604-1067 · (813) 443-5370 · Fax (813) 443-5604
Fax(813) 443-5604
Organization SubpartNo
Authorized OfficialMichel ReyesCeo · (813) 443-5370
Enumeration DateOctober 25, 2014
Last NPPES UpdateOctober 21, 2021
NPPES CertifiedOctober 21, 2021
NPI 1255736831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · RehabilitationAmbulatory Health Care Facilities
Taxonomy Code261QR0400X
License Licensed in FL · MM28422
1004 W. LINEBAUGH AVE, Tampa, FL 33612

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 10D2279940

Palm Wellness Center LLC · Tampa, FL
Active · expires Apr 10, 2027
CLIA Number10D2279940
Laboratory TypeWellness Center
Certificate Effective DateApril 11, 2025
Certificate Expiration DateApril 10, 2027
Laboratory DirectorMichel Reye
Laboratory Phone(813) 443-5370
Laboratory LocationPalm Wellness Center LLC1004 W Linebaugh Ave Suite A, Tampa, FL 33612
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

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

Home Health
1004 W. LINEBAUGH AVE, STE B
TAMPA, FL 33612

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 Palm Wellness Center LLC's NPI number?

The NPI number for Palm Wellness Center LLC is 1255736831. It was assigned to this organization in the NPPES registry on October 25, 2014.

Where is Palm Wellness Center LLC located?

Palm Wellness Center LLC is located at 1004 W. Linebaugh Ave Ste #a, Tampa, FL 33612. The listed phone number is (813) 443-5370.

What is Palm Wellness Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, with taxonomy code 261QR0400X.

Does Palm Wellness Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2279940) is associated with this NPI, valid through April 10, 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 Palm Wellness Center LLC was last updated on October 21, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.