Organization
LE CAMELOT LLC
Active
Organization
LE CAMELOT LLC
Active
Other names
Le Camelot Wellness Spa
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SANDRA BROOKS SOULE LMT (LMT/OWNER)
(813) 774-4475
Entity
Organization
Contact information
Practice address
19923 JODI DR, LUTZ, FL 33558-5005
(813) 774-4475
(813) 435-2001
Mailing address
19923 JODI DR, LUTZ, FL 33558-5005
(813) 774-4475
(813) 435-2001
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA005943
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1285961037
INDIVIDUAL NPI
FL
01
—
9566677
AETNA
FL
Enumeration date
07/21/2011
Last updated
07/21/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up