# SANTE'WAVE WELLNESS AND AESTHETICS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114757309
- **Authorized official:** DR. PAMELA K MCCLOSKEY DO (MEDICAL DIRECTOR/OWNER)
- **Authorized official phone:** (815) 519-7226

## Contact information

- **Practice address:** 900 PINE ST STE 111B, ENGLEWOOD, FL 34223-4457
- **Practice address phone:** (941) 468-3745
- **Practice address fax:** (941) 477-4375
- **Mailing address:** 11734 GOOMBAY CT, VENICE, FL 34292-2561
- **Mailing address phone:** (941) 468-3745
- **Mailing address fax:** (941) 477-4375

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171400000X | Health & Wellness Coach | — | NULL | Yes |
| 171400000X | Health & Wellness Coach | — | — | Yes |

## Other

- **Enumeration date:** 08/03/2024
- **Last updated:** 08/03/2024