Provider Demographics
NPI:1316405962
Name:ACUWELLNESS OF FLORIDA LLC
Entity Type:Organization
Organization Name:ACUWELLNESS OF FLORIDA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTY
Authorized Official - Middle Name:
Authorized Official - Last Name:BONGIOVANNI
Authorized Official - Suffix:
Authorized Official - Credentials:AP
Authorized Official - Phone:561-557-6556
Mailing Address - Street 1:8187 ROSALIE LN
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33414-3495
Mailing Address - Country:US
Mailing Address - Phone:646-492-0177
Mailing Address - Fax:
Practice Address - Street 1:3535 MILITARY TRL
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-5009
Practice Address - Country:US
Practice Address - Phone:561-557-6556
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-02
Last Update Date:2019-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty