Provider Demographics
NPI:1003969155
Name:HEALTHY POINT ACUP & NATURAL MED
Entity Type:Organization
Organization Name:HEALTHY POINT ACUP & NATURAL MED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATE
Authorized Official - Middle Name:
Authorized Official - Last Name:CANFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:AP
Authorized Official - Phone:386-426-2232
Mailing Address - Street 1:394 -B NORTH CAUSEWAY
Mailing Address - Street 2:
Mailing Address - City:NEW SMYRNA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32169-5233
Mailing Address - Country:US
Mailing Address - Phone:386-426-2232
Mailing Address - Fax:386-426-7866
Practice Address - Street 1:394 -B NORTH CAUSEWAY
Practice Address - Street 2:
Practice Address - City:NEW SMYRNA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32169-5233
Practice Address - Country:US
Practice Address - Phone:386-426-2232
Practice Address - Fax:386-426-7866
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-20
Last Update Date:2008-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP2228171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAP2228OtherCOMMERCIAL
FLC003HOtherBCBS