Provider Demographics
NPI:1093392235
Name:IN2 HEALTH, INC.
Entity Type:Organization
Organization Name:IN2 HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP/SEC./TREAS.
Authorized Official - Prefix:
Authorized Official - First Name:SARA
Authorized Official - Middle Name:M
Authorized Official - Last Name:DIAZ
Authorized Official - Suffix:
Authorized Official - Credentials:DACM, AP, CSMA
Authorized Official - Phone:321-216-5118
Mailing Address - Street 1:4775 QUAIL RUN PL
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32904-9723
Mailing Address - Country:US
Mailing Address - Phone:321-216-5118
Mailing Address - Fax:
Practice Address - Street 1:105 S RIVERSIDE DR STE 201
Practice Address - Street 2:
Practice Address - City:INDIALANTIC
Practice Address - State:FL
Practice Address - Zip Code:32903-4366
Practice Address - Country:US
Practice Address - Phone:321-216-5118
Practice Address - Fax:321-241-3095
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-25
Last Update Date:2021-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1205151495OtherNPI
FLAP2796OtherAP LICENSE #