Organization
ENERGIZED HEALTH AND WELLBEING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA ANN SPIES APRN (OWNER)
(904) 429-1290
Entity
Organization
Contact information
Practice address
154 SAN MARCO AVE, ST AUGUSTINE, FL 32084-3267
(904) 429-1290
(904) 429-1558
Mailing address
154 SAN MARCO AVE, ST AUGUSTINE, FL 32084-3267
(904) 429-1290
(904) 429-1558
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/04/2021
Last updated
02/04/2021
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