| Happy Enchilada Llc | |
|
695 Verbenia Dr Satellite Beach FL 32937-2545 | |
| (270) 871-5661 | |
| Not Available |
| Full Name | Happy Enchilada Llc |
|---|---|
| Speciality | Occupational Therapist |
| Location | 695 Verbenia Dr, Satellite Beach, Florida |
| Authorized Official Name and Position | Kristin Summer Jones (OWNER) |
| Authorized Official Contact | 2708715661 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Happy Enchilada Llc Po Box 372492 Satellite Beach FL 32937-0492 Ph: () - | Happy Enchilada Llc 695 Verbenia Dr Satellite Beach FL 32937-2545 Ph: (270) 871-5661 |
| NPI Number | 1760278873 |
|---|---|
| Provider Enumeration Date | 04/16/2025 |
| Last Update Date | 04/16/2025 |
| Certification Date | 04/16/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760278873 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
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