# SEABROOK ISLAND WELLNESS INCORPORATED

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SEABROOK ISLAND WELLNESS INCORPORATED
- **Other names:** Still Waters Studio
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1780081273
- **Legal business name:** SEABROOK ISLAND WELLNESS INCORPORATED
- **Authorized official:** MS. MARY E WHITE KURYLA (PROPRIETOR)
- **Authorized official phone:** (863) 940-3828

## Contact information

- **Practice address:** 3020 S FLORIDA AVE, SUITE 207, LAKELAND, FL 33803-4053
- **Practice address phone:** (863) 940-3828
- **Mailing address:** 3020 S FLORIDA AVE, SUITE 207, LAKELAND, FL 33803-4053
- **Mailing address phone:** (863) 940-3828

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | M73933 | FL | — |
| 251S00000X | Community/Behavioral Health Agency | M73933 | FL | — |
| 302F00000X | Exclusive Provider Organization | M73933 | FL | Yes |
| 305R00000X | Preferred Provider Organization | M73933 | FL | — |

## Other

- **Enumeration date:** 11/26/2014
- **Last updated:** 11/26/2014