SOUTHERN THERAPIES OF NORTH FLORIDA INC (NPI# 1053305748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053305748 |
| Entity Type | Organization |
| Organization Name | SOUTHERN THERAPIES OF NORTH FLORIDA INC |
| Other Organization Name | SOUTHERN THERAPY AND WELLNESS CENTER |
| Practice Address |
6050 Saint Johns Ave Suite 1 Palatka FL 32177-3895 |
| Practice Telephone | 3863120022 |
| Practice Fax Number | 3863120535 |
| Mailing Telephone | 3863120022 |
| Mailing Fax Number | 3863120535 |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2010-08-12 |
| Authorized Official Name | AMANDA BENNETT (BILLING AGENT) |
| Authorized Official Telephone | 3863120022 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 376J00000X | Homemaker | Nursing Service Related Providers | ||
| Y | 261QR0401X |
Clinic/Center Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 884914500 | 05 | |
| FL | 6762204-00 | 05 |
| Other Name | Type Code |
|---|---|
| Southern Therapy and Wellness Center | Doing Business As Name - Organization |
| Street Address |
6050 SAINT JOHNS AVE SUITE 1 |
| City | PALATKA |
| State | FL |
| Zip Code | 32177-3895 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174521942 | Douglas K Dew M.d. P.a. | Specialist | 6050 Saint Johns Ave, Suite 3, Palatka, FL 32177-6860 | 2005-07-14 |
| 1801263959 | Michael Anthony Diggett | Physical Therapy Assistant | 6050 Saint Johns Ave, Palatka, FL 32177-6860 | 2015-08-25 |
| 1154710721 | Melissa Myers | Physical Therapy Assistant | 6050 Saint Johns Ave, Palatka, FL 32177-6860 | 2015-01-20 |
| 1467719245 | Alvin Ignacio Barcenas Espedido | Physical Therapist | 6050 Saint Johns Ave, Palatka, FL 32177-6860 | 2012-04-18 |
| 1487983458 | Amanda G Arnett | Physical Therapy Assistant | 6050 Saint Johns Ave, Suite A, Palatka, FL 32177-6860 | 2009-12-21 |
| 1346401510 | The Beached Whale Swims Pl | Dietitian, Registered | 6050 Saint Johns Ave, Suite 8, Palatka, FL 32177-6860 | 2008-06-20 |
| 1699964916 | Douglas K Dew | Specialist | 6050 Saint Johns Ave, Sutie 3, Palatka, FL 32177-6860 | 2007-10-23 |
| 1851593511 | Catharina Jacoba Oberholzer | Naturopath | 6050 Saint Johns Ave, Suite 1, Palatka, FL 32177-3895 | 2007-06-04 |
| 1003026600 | A. Girouard, L.L.C. | Orthopaedic Surgery | 6050 Saint Johns Ave, Suite A, Palatka, FL 32177-6860 | 2007-05-23 |
| 1871514752 | Southern Therapies of North Florida | Physical Therapist | 6050 Saint Johns Ave, Suite 1, Palatka, FL 32177-3895 | 2006-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174124176 | Charlie Douglas | Pharmacist | 1024 South State Road 19, Pharmacy, Palatka, FL 32177 | 2020-11-05 |
| 1275090359 | Carol M Kazounis | Dietitian, Registered | 2801 Kennedy Strett, Palatka, FL 32177 | 2019-02-26 |
| 1447744768 | Pulido Internal Medicine | Nurse Practitioner | 700 Zeagler Drive, Suite 1, Palatka, FL 32177 | 2018-06-20 |
| 1063922656 | Ronald Michael Wendt | Nurse Practitioner | 3703 Crill Ave, Palatka, FL 32177 | 2017-10-09 |
| 1043560212 | Leslie Ann Lewis | Massage Therapist | 325 Poinsetta Ave, Palatka, FL 32177 | 2012-09-14 |
| 1285984963 | Walgreens | Pharmacy | 719 South State Road 19, Palatka, FL 32177 | 2012-09-11 |
| 1841549235 | Audrey M Russell | Pharmacy Technician | 719 Hwy 19 South, Palatka, FL 32177 | 2012-08-31 |
| 1194023838 | Sherry D. Michael | Licensed Practical Nurse | 330 Kay Larkin Dr., Palatka, FL 32177 | 2011-03-04 |
| 1083846364 | Patricia Kowalchuk | Occupational Therapy Assistant | 6050 St.johns Ave., Suite A, Palatka, FL 32177 | 2009-08-20 |
| 1609015320 | Robin Calhoun | Occupational Therapist | 611 Zeagler Dr., Palatka, FL 32177 | 2009-02-19 |
| Find all providers in zip 32177 | ||||
| Taxonomy Code | 261QR0401X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598881914 | All City Family Health Corp | Clinic/Center | 905 Saint Johns Ave, Palatka, FL 32177-4649 | 2007-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255960704 | Victoria Garcia | Clinic/Center | 1252 Nw 32nd St, Miami, FL 33142-6143 | 2020-04-06 |
| 1043846454 | Recovery Is Hope, LLC | Clinic/Center | 2512 W Cherry St Apt E, Tampa, FL 33607-3355 | 2020-03-17 |
| 1245750967 | Semper Therapy Center Inc | Clinic/Center | 8500 Sw 8th Street, Suite 224, Miami, FL 33144 | 2017-06-23 |
| 1477089274 | Sardonyx Group Therapy Inc | Clinic/Center | 4320 W Broward Blvd Ste 4, Plantation, FL 33317-3756 | 2017-05-11 |
| 1548637671 | Lilypad Counseling Services | Clinic/Center | 9589 Verona Lakes Blvd, Boynton Beach, FL 33472-2759 | 2015-08-24 |
| 1144619610 | Tnr Staffing, LLC | Clinic/Center | 6141 Lakae Worth Road, Lake Worth, FL 33463-3807 | 2015-01-21 |
| 1144562612 | Jl X Ray Options, Inc | Clinic/Center | 10340 Nw 36th Ct, Miami, FL 33147-1036 | 2013-03-22 |
| 1609122639 | Ariel Perez | Clinic/Center | 4070 Nw 5 St, Miami, FL 33126 | 2012-07-27 |
| 1942572805 | Instituto Medico Del Dolor LLC | Clinic/Center | 717 Ponce De Leon Blvd Ste 218, Coral Gables, FL 33134-2048 | 2012-02-07 |
| 1902174683 | Pulyterapia Spa Corp | Clinic/Center | 9369 Fountainbleau Blvd Apt J108, Miami, FL 33172-5629 | 2011-12-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.