# OCEAN PARK WELLNESS LLC

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

## Provider details

- **NPI number:** 1881418911
- **Authorized official:** DR. LANIKA BUCHANAN ND, AP (PROVIDER)
- **Authorized official phone:** (386) 847-9797

## Contact information

- **Practice address:** 5656 ISABELLE AVE STE 6, PORT ORANGE, FL 32127-6255
- **Practice address phone:** (386) 847-9797
- **Mailing address:** 5656 ISABELLE AVE STE 6, PORT ORANGE, FL 32127-6255
- **Mailing address phone:** (386) 847-9797

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | — | — | Yes |
| 175F00000X | Naturopath | — | — | — |

## Other

- **Enumeration date:** 11/14/2024
- **Last updated:** 11/14/2024