Provider Demographics
NPI:1417836545
Name:AMANI KOMFORT LLC
Entity type:Organization
Organization Name:AMANI KOMFORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECT OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KEYADA
Authorized Official - Middle Name:
Authorized Official - Last Name:LAURAY
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:904-729-7924
Mailing Address - Street 1:344 W 61ST ST
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32208-3902
Mailing Address - Country:US
Mailing Address - Phone:904-729-7924
Mailing Address - Fax:
Practice Address - Street 1:2121 CORPORATE SQUARE BLVD STE 117
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216-1977
Practice Address - Country:US
Practice Address - Phone:904-510-8060
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-02
Last Update Date:2025-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty