Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fresh Heads Lice Removal

Organization Other Technician · NPI 1548790298

Fresh Heads Lice Removal is an Other Technician in Jacksonville, Florida. Registered with an NPI since 2017.

In the registry since
2017

Practice location Address checks out

13241 Bartram Park Blvd Unit 1801
Jacksonville, FL 32258-5227
Phone: (904) 517-4087
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Other Technician (primary) Taxonomy 247200000X

Record details

NPI number1548790298
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dwight Ottesen — Owner · (904) 686-4175
NPI enumeratedJune 15, 2017
Last updated in NPPESJune 15, 2017
Mailing address653 Lake Stone Cir, Ponte Vedra Beach, FL 32082-4342

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