Provider Demographics
NPI:1003423534
Name:INTUITIVE WELLNESS LLC
Entity Type:Organization
Organization Name:INTUITIVE WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OF CLINICAL OPERATIONS
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:ELVIR
Authorized Official - Suffix:
Authorized Official - Credentials:AP
Authorized Official - Phone:305-807-5119
Mailing Address - Street 1:2819 STRAND CIR
Mailing Address - Street 2:
Mailing Address - City:OVIEDO
Mailing Address - State:FL
Mailing Address - Zip Code:32765-7975
Mailing Address - Country:US
Mailing Address - Phone:305-807-5119
Mailing Address - Fax:
Practice Address - Street 1:1525 S ALAFAYA TRL STE 105
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32828-8926
Practice Address - Country:US
Practice Address - Phone:407-282-4449
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-29
Last Update Date:2020-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty