Provider Demographics
NPI:1417333949
Name:SOMETHING BEAUTIFUL WELLNESS CARE
Entity Type:Organization
Organization Name:SOMETHING BEAUTIFUL WELLNESS CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MGR
Authorized Official - Prefix:
Authorized Official - First Name:TRACEY
Authorized Official - Middle Name:
Authorized Official - Last Name:RZEPKA
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:941-870-7060
Mailing Address - Street 1:2650 BAHIA VISTA ST STE 209
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239-2625
Mailing Address - Country:US
Mailing Address - Phone:941-870-7060
Mailing Address - Fax:844-876-2658
Practice Address - Street 1:2650 BAHIA VISTA ST STE 209
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-2625
Practice Address - Country:US
Practice Address - Phone:941-870-7060
Practice Address - Fax:844-876-2658
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-06
Last Update Date:2021-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP1592722363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty