Provider Demographics
NPI:1003306028
Name:HOLISTIC HEALING LLC
Entity Type:Organization
Organization Name:HOLISTIC HEALING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:MARCELO
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTINEZ CUERVO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-949-9828
Mailing Address - Street 1:2999 NE 191ST ST STE 406
Mailing Address - Street 2:
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-3116
Mailing Address - Country:US
Mailing Address - Phone:305-949-9828
Mailing Address - Fax:305-949-1447
Practice Address - Street 1:2999 NE 191ST ST STE 406
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180
Practice Address - Country:US
Practice Address - Phone:305-949-9828
Practice Address - Fax:305-949-1447
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-15
Last Update Date:2018-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty