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Organization
SOULSHINE HOLISTIC WELLNESS LLC
Active
Organization
SOULSHINE HOLISTIC WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER DICKSON (OWNER)
(321) 266-1427
Entity
Organization
Contact information
Practice address
5922 GOLETA CIR, MELBOURNE, FL 32940-8035
(321) 266-1427
(888) 727-0593
Mailing address
5922 GOLETA CIR, MELBOURNE, FL 32940-8035
(321) 266-1427
(888) 727-0593
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/23/2021
Last updated
08/23/2021
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