AMETHYST WELLNESS LLC NPI 1376900019

NPI Information

  • NPI: 1376900019
  • Provider Name: AMETHYST WELLNESS LLC
  • Classification: Clinic/Center - 261QM1300X
  • Specialization: Multi-Specialty
  • Entity Type: Organization
  • Address: 145 CYPRESS POINT PKWY
    SUITE 208B
    PALM COAST, FL
    ZIP 32164
  • Phone: (386) 503-7950

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NPI Details

AMETHYST WELLNESS LLC is a multi-specialty clinic center in Palm Coast, FL. AMETHYST WELLNESS LLC NPI is 1376900019. The provider is registered as an organization entity type.

The provider's business location address is:

145 CYPRESS POINT PKWY
SUITE 208B
PALM COAST, FL
ZIP 32164-426
Phone: (386) 503-7950

The provider's authorized official is Amy Coopersmith .
The authorized official title is Owner and has the following contact phone number (386) 503-7950.

The enumeration date for this NPI number is 1/26/2016 and was last updated on 2/8/2016.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM1300XClinic/CenterMulti-Specialty9242220FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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