Provider Demographics
NPI:1346509049
Name:CENTRAL FLORIDA HOLISTIC HEALTH AND WELLNESS CONSULTANTS LLC
Entity Type:Organization
Organization Name:CENTRAL FLORIDA HOLISTIC HEALTH AND WELLNESS CONSULTANTS LLC
Other - Org Name:HEALTHY HEALING ACUPUNCTURE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DOM
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:RENE
Authorized Official - Last Name:CONNELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-864-6465
Mailing Address - Street 1:1395 N COURTENAY PKWY
Mailing Address - Street 2:SUITE 202
Mailing Address - City:MERRITT ISLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32953-4400
Mailing Address - Country:US
Mailing Address - Phone:407-864-6465
Mailing Address - Fax:321-252-3752
Practice Address - Street 1:1395 N COURTENAY PKWY
Practice Address - Street 2:SUITE 202
Practice Address - City:MERRITT ISLAND
Practice Address - State:FL
Practice Address - Zip Code:32953-4400
Practice Address - Country:US
Practice Address - Phone:407-864-6465
Practice Address - Fax:321-252-3752
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-15
Last Update Date:2013-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP 3097171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty