TOTAL BODY AESTHETICS INC. NPI 1336454263

NPI Information

TOTAL BODY AESTHETICS, INC. is a specialist in Jacksonville, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. TOTAL BODY AESTHETICS, INC. NPI is 1336454263. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Total Body Health & Wellness.

The provider's business location address is:

4540 SOUTHSIDE BLVD
SUITE 701
JACKSONVILLE, FL
ZIP 32216-492
Phone: (904) 472-5563
Fax: (904) 435-4051

The provider's authorized official is Stephanie K Humphries .
The authorized official title is Owner/president and has the following contact phone number (904) 472-5563.

The enumeration date for this NPI number is 8/16/2010 and was last updated on 8/16/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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