Organization
SOUTHERN THERAPIES OF NORTH FLORIDA INC
Active
Other names
Southern Therapy and Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA BENNETT (BILLING AGENT)
(386) 312-0022
Entity
Organization
Contact information
Practice address
6050 SAINT JOHNS AVE, SUITE 1, PALATKA, FL 32177-3895
(386) 312-0022
(386) 312-0535
Mailing address
6050 SAINT JOHNS AVE, SUITE 1, PALATKA, FL 32177-3895
(386) 312-0022
(386) 312-0535
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
376J00000X
Homemaker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6762204-00
—
FL
05
—
884914500
—
FL
Enumeration date
09/08/2005
Last updated
08/12/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us