Healthcare Provider Details

I. General information

NPI: 1457000903
Provider Name (Legal Business Name): THE NURTURING OASIS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2022
Last Update Date: 03/13/2024
Certification Date: 03/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7952 MALTA CT
JACKSONVILLE FL
32244-8200
US

IV. Provider business mailing address

7952 MALTA CT
JACKSONVILLE FL
32244-8200
US

V. Phone/Fax

Practice location:
  • Phone: 561-234-7639
  • Fax:
Mailing address:
  • Phone: 561-234-7639
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License Number
License Number State

VIII. Authorized Official

Name: DR. MARCDA HILAIRE BRUNOT
Title or Position: PRESIDENT, CEO, DIRECTOR
Credential: DC
Phone: 561-234-7639