Provider Demographics
NPI:1467840371
Name:NATURAL HEALING WELLNESS CENTER
Entity Type:Organization
Organization Name:NATURAL HEALING WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND DOCTOR OF ORIENTAL MEDICI
Authorized Official - Prefix:
Authorized Official - First Name:ELIZIANE
Authorized Official - Middle Name:
Authorized Official - Last Name:NASCIMENTO
Authorized Official - Suffix:
Authorized Official - Credentials:DOM
Authorized Official - Phone:954-716-8794
Mailing Address - Street 1:540 E MCNAB RD STE D
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33060-9354
Mailing Address - Country:US
Mailing Address - Phone:954-716-8794
Mailing Address - Fax:
Practice Address - Street 1:540 E MCNAB RD STE D
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33060-9354
Practice Address - Country:US
Practice Address - Phone:954-716-8794
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-30
Last Update Date:2014-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP3013171100000X
FLAP3155171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty