Organization
THE REFINERY MEDSPA AND WELLNES, LLC
Active
Other names
Panacea Medical Associates, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JARROD JAMES STOLDT (PRESIDENT)
(321) 917-2217
Entity
Organization
Contact information
Practice address
4311 NORFOLK PKWY STE 114, WEST MELBOURNE, FL 32904-8617
(321) 722-6200
Mailing address
1115 E RIVER OAKS DR, INDIALANTIC, FL 32903-4630
(321) 917-2217
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
03/22/2018
Last updated
03/22/2018
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