STILL WATERS MEDICAL SPA NPI 1841470895

NPI Information

STILL WATERS MEDICAL SPA is a specialist in Pensacola, 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. STILL WATERS MEDICAL SPA NPI is 1841470895. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

20 N TARRAGONA ST
PENSACOLA, FL
ZIP 32502-063
Phone: (850) 432-6772

The provider's authorized official is Jeff Aanestad .
The authorized official title is Owner and has the following contact phone number (850) 432-6772.

The CLIA number assigned to this NPI record is 10D2241101 - other practitioner with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/7/2007 and was last updated on 11/7/2007.

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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