Xtreme Natural Body

LBN: Xtreme Natural Body
Xtreme Natural Body is an health care organization with primary practice located at 534 Park Ave Ste 6 , Orange Park FL 32073-3109. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Xtreme Natural Body can be contacted via phone (443) 846-9100, or through Good, Yvonne Marie via phone (443) 846-9100.

Contact Information

Primary practice address
534 Park Ave Ste 6 Orange Park FL 32073-3109
Phone: (443) 846-9100
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Good, Yvonne Marie Advanced Practice Registered Nurse (APRN)
Phone: (443) 846-9100

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1376260190
LBN Legal business name Xtreme Natural Body
DBA Doing business as
Authorized official Good, Yvonne Marie Advanced Practice Registered Nurse (APRN)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 24th, 2022
Last updated Mar 21st, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376260190 NPPES
Florida MEDICAID 1316240716
Florida Other 9432176

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