| Sea Breeze Therapy, Llc | |
|
6860 Tamra Ln Jacksonville FL 32216-2829 | |
| (904) 299-6694 | |
| Not Available |
| Full Name | Sea Breeze Therapy, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 6860 Tamra Ln, Jacksonville, Florida |
| Authorized Official Name and Position | Karla Elgin (OWNER) |
| Authorized Official Contact | 9042996694 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sea Breeze Therapy, Llc Po Box 16054 Jacksonville FL 32245-6054 Ph: () - | Sea Breeze Therapy, Llc 6860 Tamra Ln Jacksonville FL 32216-2829 Ph: (904) 299-6694 |
| NPI Number | 1366039257 |
|---|---|
| Provider Enumeration Date | 12/24/2020 |
| Last Update Date | 12/24/2020 |
| Certification Date | 12/24/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366039257 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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