Organization
SEABROOK ISLAND WELLNESS INCORPORATED
Active
Parent organization
SEABROOK ISLAND WELLNESS INCORPORATED
Other names
Still Waters Studio
Organization subpart
Yes
Provider details
NPI number
Legal business name
SEABROOK ISLAND WELLNESS INCORPORATED
Authorized official
MS. MARY E WHITE KURYLA (PROPRIETOR)
(863) 940-3828
Entity
Organization
Contact information
Practice address
3020 S FLORIDA AVE, SUITE 207, LAKELAND, FL 33803-4053
(863) 940-3828
Mailing address
3020 S FLORIDA AVE, SUITE 207, LAKELAND, FL 33803-4053
(863) 940-3828
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
M73933
FL
251S00000X
Community/Behavioral Health Agency
M73933
FL
302F00000X
Exclusive Provider Organization
Primary
M73933
FL
305R00000X
Preferred Provider Organization
M73933
FL
Other
Enumeration date
11/26/2014
Last updated
11/26/2014
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