Ride The Wave Therapy Services | |
150 Southpark Blvd Ste 202 Saint Augustine FL 32086-5179 | |
(904) 217-3103 | |
Not Available |
Full Name | Ride The Wave Therapy Services |
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Speciality | Clinic/center - Multi-specialty |
Location | 150 Southpark Blvd Ste 202, Saint Augustine, Florida |
Authorized Official Name and Position | Jana Sanford-heller (OWNER) |
Authorized Official Contact | 3522560658 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ride The Wave Therapy Services 247 Portada Dr Saint Augustine FL 32095-1637 Ph: () - | Ride The Wave Therapy Services 150 Southpark Blvd Ste 202 Saint Augustine FL 32086-5179 Ph: (904) 217-3103 |
NPI Number | 1467068023 |
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Provider Enumeration Date | 09/18/2020 |
Last Update Date | 09/18/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467068023 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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