Provider Demographics
NPI:1316450208
Name:SEA AURA EVENTZ
Entity type:Organization
Organization Name:SEA AURA EVENTZ
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAUREL
Authorized Official - Middle Name:
Authorized Official - Last Name:OLAJIDE
Authorized Official - Suffix:
Authorized Official - Credentials:APD PROVIDER
Authorized Official - Phone:813-560-3946
Mailing Address - Street 1:100 S ASHLEY DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33602-5304
Mailing Address - Country:US
Mailing Address - Phone:813-560-3946
Mailing Address - Fax:813-284-5209
Practice Address - Street 1:100 S ASHLEY DR
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33602-5304
Practice Address - Country:US
Practice Address - Phone:813-560-3946
Practice Address - Fax:813-284-5209
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SEA AURA EVENTS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-11-14
Last Update Date:2020-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL261QD1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities