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Organization
RIZEN WELLNESS LOUNGE LLC
Active
Organization
RIZEN WELLNESS LOUNGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ATIA GIPSON NP (OWNER)
(386) 218-0764
Entity
Organization
Contact information
Practice address
1081 TOWN CENTER DR STE 200, ORANGE CITY, FL 32763-8360
(386) 218-0764
Mailing address
1081 TOWN CENTER DR STE 200, ORANGE CITY, FL 32763-8360
(386) 218-0764
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/10/2024
Last updated
12/28/2024
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