Provider Demographics
NPI:1821641150
Name:NORTH FLORIDA NATURAL HEALTH, INC
Entity Type:Organization
Organization Name:NORTH FLORIDA NATURAL HEALTH, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED MASSAGE THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:MARCIA
Authorized Official - Last Name:STETSON
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:386-249-5319
Mailing Address - Street 1:10848 169TH ROAD
Mailing Address - Street 2:
Mailing Address - City:LIVE OAK
Mailing Address - State:FL
Mailing Address - Zip Code:32060
Mailing Address - Country:US
Mailing Address - Phone:386-249-5319
Mailing Address - Fax:386-703-2187
Practice Address - Street 1:405 11TH STREET SW
Practice Address - Street 2:SUITE 206
Practice Address - City:LIVE OAK
Practice Address - State:FL
Practice Address - Zip Code:32064
Practice Address - Country:US
Practice Address - Phone:386-209-0771
Practice Address - Fax:386-703-2187
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NORTH FLORIDA NATURAL HEALTH, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-07-16
Last Update Date:2019-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth ServiceGroup - Single Specialty