Provider Demographics
NPI:1659493880
Name:OCEAN DAY SPA INC.
Entity Type:Organization
Organization Name:OCEAN DAY SPA INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:L
Authorized Official - Last Name:LAW
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:561-746-4635
Mailing Address - Street 1:725 N HIGHWAY A1A STE E107
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33477-9514
Mailing Address - Country:US
Mailing Address - Phone:561-746-4635
Mailing Address - Fax:561-746-4634
Practice Address - Street 1:725 N HIGHWAY A1A STE E107
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33477-9514
Practice Address - Country:US
Practice Address - Phone:561-746-4635
Practice Address - Fax:561-746-4634
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-06
Last Update Date:2009-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA19349225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty