Healthcare Provider Details

I. General information

NPI: 1144107384
Provider Name (Legal Business Name): FLO YOGA SPA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2025
Last Update Date: 08/19/2025
Certification Date: 08/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4320 A1A S STE 7
ST AUGUSTINE FL
32080-7436
US

IV. Provider business mailing address

4320 A1A S STE 7
ST AUGUSTINE FL
32080-7436
US

V. Phone/Fax

Practice location:
  • Phone: 904-888-6574
  • Fax:
Mailing address:
  • Phone: 904-888-6574
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: JANINA HARRY
Title or Position: OWNER
Credential:
Phone: 904-888-6574