Heaven Wellness Medical Center, Inc.
NPI 1053034298 · Clinic/Center · Tampa, FL
Heaven Wellness Medical Center, Inc. is a Clinic/Center organization in Tampa, FL (NPI 1053034298).
Provider details
- NPI number
- 1053034298
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Lazara Hurtado Hernandez, Owner(813) 409-9457
Specialties & taxonomies
Ambulatory Health Care Facilities
- Health Service Clinic/Center261QH0100X
Ambulatory Health Care Facilities
- Physical Therapy Clinic/Center261QP2000X
Ambulatory Health Care Facilities
- Rehabilitation Clinic/Center261QR0400X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-09-22
- Last updated
- 2022-09-22
- Certified
- 2022-09-22
Frequently asked questions
- What is Heaven Wellness Medical Center, Inc.'s NPI number?
- Heaven Wellness Medical Center, Inc.'s National Provider Identifier (NPI) is 1053034298, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Heaven Wellness Medical Center, Inc.?
- Heaven Wellness Medical Center, Inc. is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Heaven Wellness Medical Center, Inc. located?
- Heaven Wellness Medical Center, Inc.'s practice location on file with NPPES is 11961 N Florida Ave Ste B, Tampa, FL 33612-5213.
- What is Heaven Wellness Medical Center, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Heaven Wellness Medical Center, Inc. is (813) 415-2891.
- Who is the authorized official for Heaven Wellness Medical Center, Inc.?
- The authorized official listed on Heaven Wellness Medical Center, Inc.'s NPPES record is Lazara Hurtado Hernandez, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Heaven Wellness Medical Center, Inc.'s NPI active?
- Yes — Heaven Wellness Medical Center, Inc.'s NPI (1053034298) is active in the NPPES registry as of the last update on 2022-09-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.