Organization
BACK TO EDEN
Active
Other names
Back to Eden Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
LYNNETTE R BLAKE CNHP,ND (OWNER)
(772) 600-5815
Entity
Organization
Contact information
Practice address
209 SW FEDERAL HWY, STUART, FL 34994-2003
(772) 600-5815
(772) 600-8012
Mailing address
209 SW FEDERAL HWY, STUART, FL 34994-1005
(772) 600-5815
(772) 600-8012
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
—
—
225700000X
Massage Therapist
Primary
MM27262
FL
Other
Enumeration date
10/27/2010
Last updated
03/27/2012
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