HEALTHY BODIES MEDICAL CENTER
NPI 1265972103
Clinic/Center in Brandon, FL

Active since February 25, 2017CLIA 10D2232810 · Waiver
3415 BROOK CROSSING DR, BRANDON, FL 33511(813) 540-5005 Get Directions Write a Review

NPPES record last updated: February 25, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Healthy Bodies Medical Center NPPES

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

HEALTHY BODIES MEDICAL CENTER (NPI 1265972103) is a healthcare organization registered as a clinic/center in Brandon, Florida and active in the NPI registry since February 2017. The organization holds a CLIA Waiver certificate valid through August 17, 2027 and lists Watson Ducatel, Physician, as its authorized official.

NPPES Registry Identity

NPI1265972103
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameHEALTHY BODIES MEDICAL CENTER
Location Address3415 BROOK CROSSING DRBrandon, FL 33511-8181
Mailing AddressPo Box 484Thonotosassa, FL 33592-0484
Organization SubpartNo
Authorized OfficialWatson DucatelPhysician · (813) 540-5005
Enumeration DateFebruary 25, 2017
NPI 1265972103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License Licensed in FL · OS11874
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).
3415 BROOK CROSSING DR, Brandon, FL 33511

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 10D2232810

Healthy Bodies Medical Center, LLC · Brandon, FL
Active · expires Aug 17, 2027
CLIA Number10D2232810
Laboratory TypePhysician Office
Certificate Effective DateAugust 18, 2025
Certificate Expiration DateAugust 17, 2027
Laboratory DirectorWatson Ducatel
Laboratory Phone(813) 540-5005
Laboratory LocationHealthy Bodies Medical Center, LLC3415 Brook Crossing Dr, Brandon, FL 33511
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 3

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

Internal Medicine
3415 BROOK CROSSING DR
BRANDON, FL 33511
Dentist (General Practice)
3415 BROOK CROSSING DR
BRANDON, FL 33511
Dentist
3415 BROOK CROSSING DR
BRANDON, FL 33511

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 Healthy Bodies Medical Center's NPI number?

The NPI number for Healthy Bodies Medical Center is 1265972103. It was assigned to this organization in the NPPES registry on February 25, 2017.

Where is Healthy Bodies Medical Center located?

Healthy Bodies Medical Center is located at 3415 Brook Crossing Dr, Brandon, FL 33511. The listed phone number is (813) 540-5005.

What is Healthy Bodies Medical Center's specialty?

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

Does Healthy Bodies Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2232810) is associated with this NPI, valid through August 17, 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 Healthy Bodies Medical Center was last updated on February 25, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.