Organization
ST. JOHNS WELLNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DARLENE L. TORROLL LMT (OWNER)
(904) 537-0674
Entity
Organization
Contact information
Practice address
305 KINGSLEY LAKE DR, SUITE 702, ST AUGUSTINE, FL 32092-3043
(904) 537-0674
Mailing address
4361 COMANCHE TRAIL BLVD, SAINT JOHNS, FL 32259-4285
(904) 537-0674
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MM18687
FL
Other
Enumeration date
04/29/2008
Last updated
04/29/2008
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