| Bon Salut Organic Med Spa | |
|
14846 Tamiami Trl North Port FL 34287-2701 | |
| (941) 876-3577 | |
| Not Available |
| Full Name | Bon Salut Organic Med Spa |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 14846 Tamiami Trl, North Port, Florida |
| Authorized Official Name and Position | Anne Marie Farag (DIRECTOR OWNER) |
| Authorized Official Contact | 7276929465 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bon Salut Organic Med Spa 14846 Tamiami Trl North Port FL 34287-2701 Ph: (941) 876-3577 | Bon Salut Organic Med Spa 14846 Tamiami Trl North Port FL 34287-2701 Ph: (941) 876-3577 |
| NPI Number | 1972156289 |
|---|---|
| Provider Enumeration Date | 07/17/2019 |
| Last Update Date | 07/22/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972156289 | NPI | - | NPPES |
| 1003885815 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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