Organization
SPACE COAST ADVANCED PRACTICE CONSULTANTS LLC
Active
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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