Organization
R&R MEDSPA AND WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS PATRICK REEDER FNP, ARNP (OWNER OPERATOR)
(850) 598-9939
Entity
Organization
Contact information
Practice address
246 E COBB AVE, CRESTVIEW, FL 32539-4212
(850) 598-9939
Mailing address
246 E COBB AVE, CRESTVIEW, FL 32539-4212
(850) 598-9939
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QP3300X
Pain Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9262454
FLORIDA
FL
Enumeration date
12/17/2025
Last updated
12/17/2025
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