Organization
SPA SARASOTA, LLC
Active
Organization
SPA SARASOTA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEAN-PAUL H. D'ANGELO L.M.T. (OWNER)
(904) 738-0369
Entity
Organization
Contact information
Practice address
1147 EDGEWOOD AVE S, SUITE 5, JACKSONVILLE, FL 32205-0810
(904) 738-0369
Mailing address
1147 EDGEWOOD AVE S, SUITE 5, JACKSONVILLE, FL 32205-0810
(904) 738-0369
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
MM21136
ZZ
Other
Enumeration date
04/24/2009
Last updated
04/24/2009
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