Organization
SPACE COAST ADVANCED PRACTICE CONSULTANTS LLC
Active
Other names
Embracing You Integrative Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAKEECIA CANNION APRN-C (OWNER)
(321) 795-7386
Entity
Organization
Contact information
Practice address
115 HICKORY ST STE 204, MELBOURNE, FL 32904-3505
(321) 795-7386
Mailing address
1838 WADENA ST NW, PALM BAY, FL 32907-8511
(321) 795-7386
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016947100
—
FL
Enumeration date
05/29/2020
Last updated
05/29/2020
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