Provider Demographics
NPI:1033437983
Name:THE HEALING PALACE INC.
Entity Type:Organization
Organization Name:THE HEALING PALACE INC.
Other - Org Name:MIAMI ACUPUNCTURE THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ADRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MELERO
Authorized Official - Suffix:
Authorized Official - Credentials:AP
Authorized Official - Phone:786-972-1616
Mailing Address - Street 1:324 PALMETTO DR
Mailing Address - Street 2:
Mailing Address - City:MIAMI SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33166-5824
Mailing Address - Country:US
Mailing Address - Phone:786-972-1616
Mailing Address - Fax:
Practice Address - Street 1:1 CURTISS PKWY
Practice Address - Street 2:#6
Practice Address - City:MIAMI SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33166-5263
Practice Address - Country:US
Practice Address - Phone:786-972-1616
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-16
Last Update Date:2014-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH9977111N00000X
FLAP2697171100000X
FL225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty