| Energized Health And Wellbeing, Llc | |
|
154 San Marco Ave St Augustine FL 32084-3267 | |
| (904) 429-1290 | |
| (904) 429-1558 |
| Full Name | Energized Health And Wellbeing, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 154 San Marco Ave, St Augustine, Florida |
| Authorized Official Name and Position | Melissa Ann Spies (OWNER) |
| Authorized Official Contact | 9044291290 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Energized Health And Wellbeing, Llc 154 San Marco Ave St Augustine FL 32084-3267 Ph: (904) 429-1290 | Energized Health And Wellbeing, Llc 154 San Marco Ave St Augustine FL 32084-3267 Ph: (904) 429-1290 |
| NPI Number | 1205428828 |
|---|---|
| Provider Enumeration Date | 02/04/2021 |
| Last Update Date | 02/04/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205428828 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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