St. Johns Wellness Center, LLC

NPI #1710152897 in St Augustine, Florida

Provider Information

NPI Number: 1710152897
Entity Type: Organization
Organization Name: St. Johns Wellness Center, LLC
Primary Specialty: Specialist
Enumeration Date: Apr 29, 2008
Last Updated: Apr 29, 2008

Practice Location

Address: 305 KINGSLEY LAKE DR
Address 2: SUITE 702
City: St Augustine
State: Florida
ZIP Code: 32092-3043
Phone: (904) 537-0674

Authorized Official

Name: MS. DARLENE L. TORROLL, LMT
Title: OWNER
Phone: (904) 537-0674

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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