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Organization
OCEANSIDE WELLNESS PLLC
Active
Organization
OCEANSIDE WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHYLEISCHA OWEN (BILLING MANAGER)
(407) 312-4613
Entity
Organization
Contact information
Practice address
3516 S ATLANTIC AVENUE, NEW SMYRNA BEACH, FL 32169-3628
(386) 235-4412
(386) 410-2918
Mailing address
3516 S ATLANTIC AVENUE, NEW SMYRNA BEACH, FL 32169-3628
(386) 235-4412
(863) 816-5865
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH10756
FL
Other
Enumeration date
05/13/2015
Last updated
05/16/2023
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