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NPI Code Detail

MEDICARE: AMANI KOMFORT LLC

MEDICARE: AMANI KOMFORT LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage Therapist

General Provider Information

NPI Number : 1417836545
Entity Type Code : Organization
Provider Name (Legal Business Name) : AMANI KOMFORT LLC
Provider Business Mailing Address
First Line : 344 W 61ST ST
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32208-3902
Country : US
Telephone Number : 904-729-7924
Fax Number :
Provider Business Practice Location Address
First Line : 2121 CORPORATE SQUARE BLVD STE 117
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32216-1977
Country : US
Telephone Number : 904-510-8060
Fax Number :
Authorized Official
Title or Position : DIRECT OWNER
Name : KEYADA LAURAY
Credential : DO
Telephone Number : 904-729-7924
Provider Enumeration Date : 09/02/2025
Last Update Date : 09/02/2025

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Directions to “AMANI KOMFORT LLC ” Practice Location

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