Organization
BON SALUT ORGANIC MED SPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANNE MARIE FARAG (DIRECTOR OWNER)
(727) 692-9465
Entity
Organization
Contact information
Practice address
14846 TAMIAMI TRL, NORTH PORT, FL 34287-2701
(941) 876-3577
Mailing address
14846 TAMIAMI TRL, NORTH PORT, FL 34287-2701
(941) 876-3577
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003885815
—
FL
Enumeration date
07/17/2019
Last updated
07/22/2019
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