Organization
SHIP SHAPE WATER FITNESS SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHARON M. SMITH AFAA TRAINER (FITNESS TRAINER)
(386) 986-5655
Entity
Organization
Contact information
Practice address
47 KALAMAZOO TRL, PALM COAST, FL 32164-5633
(386) 986-5655
(386) 313-1886
Mailing address
47 KALAMAZOO TRL, PALM COAST, FL 32164-5633
(386) 986-5655
(386) 313-1886
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
AEA 60145
FL
251K00000X
Public Health or Welfare Agency
Primary
AFAA 32385
FL
Other
Enumeration date
12/07/2012
Last updated
12/07/2012
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