Sparks, Frieda G

Sparks, Frieda G is an sole proprietor health care provider with primary practice located at 10-G St Johns Medical Park Dr , St Augustine FL 32086. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Sparks, Frieda G can be contacted via phone (904) 794-0507.

Contact Information

Primary practice address
10-G St Johns Medical Park Dr St Augustine FL 32086
Phone: (904) 794-0507
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MA0025687 Florida

Profile Details

NPI number 1164552980
LBN Legal business name Sparks, Frieda G
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 7th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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