Provider Demographics
NPI:1962229732
Name:REMEDI NAIL SPA LLC
Entity type:Organization
Organization Name:REMEDI NAIL SPA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:VOGEL
Authorized Official - Suffix:
Authorized Official - Credentials:MNT
Authorized Official - Phone:813-417-0899
Mailing Address - Street 1:2643 NARNIA WAY UNIT 102
Mailing Address - Street 2:
Mailing Address - City:LAND O LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:34638-7268
Mailing Address - Country:US
Mailing Address - Phone:813-803-3041
Mailing Address - Fax:
Practice Address - Street 1:2643 NARNIA WAY UNIT 102
Practice Address - Street 2:
Practice Address - City:LAND O LAKES
Practice Address - State:FL
Practice Address - Zip Code:34638-7268
Practice Address - Country:US
Practice Address - Phone:813-803-3041
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-24
Last Update Date:2024-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156F00000XEye and Vision Services ProvidersTechnician/TechnologistGroup - Multi-Specialty
No173C00000XOther Service ProvidersReflexologistGroup - Multi-Specialty
No225500000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistGroup - Multi-Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty
No247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, OtherGroup - Multi-Specialty
No252Y00000XAgenciesEarly Intervention Provider Agency
No261QP1100XAmbulatory Health Care FacilitiesClinic/CenterPodiatric
No302R00000XManaged Care OrganizationsHealth Maintenance Organization
No405300000XOther Service ProvidersPrevention ProfessionalGroup - Multi-Specialty