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HEALTH & GLOW PRIMARY CARE & MED SPA LLC
NPI 1912519224
Internal Medicine in Tampa, FL

Active since August 18, 2020CLIA 10D2194829 · Waiver
4331 S MANHATTAN AVE, TAMPA, FL 33611(813) 832-4569(833) 974-2491 Get Directions Write a Review

NPPES record last updated: September 6, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 6, 2023, Jul 28, 2022, Nov 19, 2020 and 3 more (6 updates tracked since 2020).

About Health & Glow Primary Care & Med Spa Llc NPPES

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

HEALTH & GLOW PRIMARY CARE & MED SPA LLC (NPI 1912519224) is a healthcare organization registered as an internal medicine in Tampa, Florida and active in the NPI registry since August 2020. The organization holds a CLIA Waiver certificate valid through October 4, 2026 and lists Swapna Kallikadan, Owner, as its authorized official.

NPPES Registry Identity

NPI1912519224
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameHEALTH & GLOW PRIMARY CARE & MED SPA LLC
Location Address4331 S MANHATTAN AVETampa, FL 33611
Mailing Address4331 S Manhattan AveTampa, FL 33611 · (813) 832-4569 · Fax (833) 974-2491
Phone(813) 832-4569
Fax(833) 974-2491
Organization SubpartNo
Authorized OfficialSwapna KallikadanOwner · (813) 832-4569
Enumeration DateAugust 18, 2020
Last NPPES UpdateSeptember 6, 20236 updates tracked since enumeration
NPPES CertifiedJuly 28, 2022
✔ NPI 1912519224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4331 S MANHATTAN AVE, Tampa, FL 33611
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 10D2194829

Health & Glow- Primary Care And Med Spa LLC · Tampa, FL
Active · expires Oct 4, 2026
CLIA Number10D2194829
Laboratory TypePhysician Office
Certificate Effective DateOctober 5, 2024
Certificate Expiration DateOctober 4, 2026
Laboratory DirectorSwapna M. Kallikadan
Laboratory Phone(917) 596-8872
Laboratory LocationHealth & Glow- Primary Care And Med Spa LLC4331 S Manhattan Ave, Tampa, FL 33611
CLIA data matches this NPI record on: Address
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.

DR. SWAPNA KALLIKADAN M.D.
Internal Medicine
4331 S MANHATTAN AVE
TAMPA, FL 33611
Hillsborough County (813) 832-4569
COURTNEY AUTUMN KAILUNAS DNP APRN FNP-C
Nurse Practitioner (Primary Care)
4331 S MANHATTAN AVE
TAMPA, FL 33611
Hillsborough County (813) 832-4569

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 Health & Glow Primary Care & Med Spa LLC's NPI number?

The NPI number for Health & Glow Primary Care & Med Spa LLC is 1912519224. It was assigned to this organization in the NPPES registry on August 18, 2020.

Where is Health & Glow Primary Care & Med Spa LLC located?

Health & Glow Primary Care & Med Spa LLC is located at 4331 S Manhattan Ave, Tampa, FL 33611. The listed phone number is (813) 832-4569.

What is Health & Glow Primary Care & Med Spa LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Health & Glow Primary Care & Med Spa LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2194829) is associated with this NPI, valid through October 4, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Health & Glow Primary Care & Med Spa LLC was last updated on September 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.