Affordable Spa

Primary specialty

MechanotherapistTaxonomy code 172M00000X

License

MM21446 Issued in FL

Legal business name

AFFORDABLE SPA

Practice address

2062 N Courtenay Pkwy
Merritt Island, FL 32953-4285

Phone

(321) 452-0111

NPI assigned

Sep 21, 2010

Organization subpart

No

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

Authorized official

Name

Mr. David Marion Artura

Title

Corporate Representative

Phone

(407) 625-2141

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1285027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285027200000",
    "number": "1942518279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2062 N COURTENAY PKWY",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329534285",
            "telephone_number": "321-452-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2062 N COURTENAY PKWY",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329534285",
            "telephone_number": "321-452-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE SPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-21",
        "last_updated": "2010-09-21",
        "status": "A",
        "authorized_official_last_name": "ARTURA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MARION",
        "authorized_official_title_or_position": "CORPORATE REPRESENTATIVE",
        "authorized_official_telephone_number": "407-625-2141",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Mechanotherapist",
            "state": "FL",
            "license": "MM21446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mechanotherapist in Merritt Island, FL
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2010; 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.