Organization
RENEW U MASSAGE & SKINCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATANYA TAITE LMT (OWNER, MASSAGE THERAPIST)
(941) 388-7633
Entity
Organization
Contact information
Practice address
4930 FRUITVILLE RD, SARASOTA, FL 34232-2206
(941) 388-7633
Mailing address
4930 FRUITVILLE RD, SARASOTA, FL 34232-2206
(941) 388-7633
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
MM27913
FL
Other
Enumeration date
08/03/2012
Last updated
08/07/2013
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