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FRESH HEADS LICE REMOVAL
NPI 1548790298
Technician, Other in Jacksonville, FL

Active since June 15, 2017
13241 BARTRAM PARK BLVD UNIT 1801, JACKSONVILLE, FL 32258(904) 517-4087 Get Directions Write a Review

NPPES record last updated: June 15, 2017. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Fresh Heads Lice Removal NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FRESH HEADS LICE REMOVAL (NPI 1548790298) is a healthcare organization registered as a technician, other in Jacksonville, Florida and active in the NPI registry since June 2017. The organization lists Dwight L Ottesen, Owner, as its authorized official.

NPPES Registry Identity

NPI1548790298
Entity TypeOrganization
Primary Taxonomy247200000X
Legal Business NameFRESH HEADS LICE REMOVAL
Location Address13241 BARTRAM PARK BLVD UNIT 1801Jacksonville, FL 32258-5227
Mailing Address653 Lake Stone CirPonte Vedra Beach, FL 32082-4342 · (904) 235-3157
Phone(904) 517-4087
Organization SubpartNo
Authorized OfficialDwight L OttesenOwner · (904) 686-4175
Enumeration DateJune 15, 2017
✔ NPI 1548790298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician, OtherTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code247200000X
Definition
A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.
13241 BARTRAM PARK BLVD UNIT 1801, Jacksonville, FL 32258
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fresh Heads Lice Removal's NPI number?

The NPI number for Fresh Heads Lice Removal is 1548790298. It was assigned to this organization in the NPPES registry on June 15, 2017.

Where is Fresh Heads Lice Removal located?

Fresh Heads Lice Removal is located at 13241 Bartram Park Blvd Unit 1801, Jacksonville, FL 32258. The listed phone number is (904) 517-4087.

What is Fresh Heads Lice Removal's specialty?

The primary specialty registered for this NPI is Technician, Other with taxonomy code 247200000X.

When was this NPI record last updated?

The NPPES record for Fresh Heads Lice Removal was last updated on June 15, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.