| Ride the Wave Therapy Services | |
|
150 Southpark Blvd Ste 202 Saint Augustine FL 32086-5179 | |
| (904) 217-3103 | |
| Not Available |
| Full Name | Ride the Wave Therapy Services |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 150 Southpark Blvd Ste 202, Saint Augustine, Florida |
| Authorized Official Name and Position | Jana Sanford-heller (OWNER) |
| Authorized Official Contact | 3522560658 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ride the Wave Therapy Services 247 Portada Dr Saint Augustine FL 32095-1637 | Ride the Wave Therapy Services 150 Southpark Blvd Ste 202 Saint Augustine FL 32086-5179 Ph: (904) 217-3103 |
| NPI Number | 1467068023 |
|---|---|
| Provider Enumeration Date | 09/18/2020 |
| Last Update Date | 09/18/2020 |
| Certification Date | 09/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467068023 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
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