Colonics & Massage Of Marianna, Llc
Clinic/Center in Marianna, FL(View on Map)
Legal Business Name
Colonics & Massage Of Marianna, Llc
NPI Number
1285309427
NPI Type
Organization
Enumeration Date
08/10/2021
Specialties
(Taxonomies)Contact
Information
Purpose
Mailing
Location
Address
2946 JEFFERSON ST
2946 JEFFERSON ST
City
Marianna
Marianna
State
FL
FL
Postal Code
32446-3140
32446-3140
Country
US
US
Telephone Number
(850) 526-3211
(850) 526-3211
Authorized Official
Name
Mrs. Deloris Brockner
Title or Position
OWNER
Telephone Number
(850) 526-3211
Identifiers
Identifier
MA90046
Identifier State
FL
Identifier Issuer
MASSAGE THERAPY
Health Information Exchange
Endpoint Type
SOAP
Endpoint
PC
Endpoint Description
Apple
Use
Health Information Exchange (HIE)
Content Type
Other
Other Description:soap Notes
Affiliation
N
Endpoint Location
2946 Jefferson StMarianna, FL324463140US
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 08/10/2021
Provider Address
Other Clinic/Center in Marianna, Florida: