Spa Sarasota, LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

MM21136 Issued in ZZ

Legal business name

SPA SARASOTA, LLC

Practice address

1147 Edgewood Ave S
Suite 5
Jacksonville, FL 32205-0810

Phone

(904) 738-0369

NPI assigned

Apr 24, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Jean-Paul H. D'Angelo, L.M.T.

Title

Owner

Phone

(904) 738-0369

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1240531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240531200000",
    "number": "1265676902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1147 EDGEWOOD AVE S",
            "address_2": "SUITE 5",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322050810",
            "telephone_number": "904-738-0369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1147 EDGEWOOD AVE S",
            "address_2": "SUITE 5",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322050810",
            "telephone_number": "904-738-0369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPA SARASOTA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-24",
        "last_updated": "2009-04-24",
        "status": "A",
        "authorized_official_last_name": "D'ANGELO",
        "authorized_official_first_name": "JEAN-PAUL",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-738-0369",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.M.T."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "ZZ",
            "license": "MM21136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Spann Sowell, APRN
• Antonio Luis Sowers Jr., DPT, LAT, ATC
• Austin Sowers, MD
• Sarah Sowinski, PA-C
• Morgan Soyars
• Thomas N Spackman, M.D.
• Reilly Spadafora
• Linda Gamble Spadaro, LMHC
• Michael J Spagna, CRNA
• Charles Spagnuolo, PHARM D

• Health Service Clinic/Center in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Health Service Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.