Organization
OCEANVIBES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ELIZABETH A ZYLKOWSKI LMT (PRESIDENT)
(904) 318-0328
Entity
Organization
Contact information
Practice address
21 GRANT ST, SAINT AUGUSTINE, FL 32084-2739
(904) 823-8633
Mailing address
305 4TH ST, SAINT AUGUSTINE, FL 32084-1437
(904) 823-8633
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MA 43881
FL
174400000X
Specialist
MA 53341
FL
174400000X
Specialist
Primary
MM 16528
FL
Other
Enumeration date
10/19/2009
Last updated
10/19/2009
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