Provider Demographics
NPI:1497275812
Name:HEALTHY BODIES PLLC
Entity Type:Organization
Organization Name:HEALTHY BODIES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VALERI
Authorized Official - Middle Name:D
Authorized Official - Last Name:HOUCK
Authorized Official - Suffix:
Authorized Official - Credentials:PA
Authorized Official - Phone:352-897-5293
Mailing Address - Street 1:6890 N FLORIDA AVE
Mailing Address - Street 2:
Mailing Address - City:HERNANDO
Mailing Address - State:FL
Mailing Address - Zip Code:34442-3500
Mailing Address - Country:US
Mailing Address - Phone:352-897-5293
Mailing Address - Fax:352-897-5307
Practice Address - Street 1:6890 N FLORIDA AVE
Practice Address - Street 2:
Practice Address - City:HERNANDO
Practice Address - State:FL
Practice Address - Zip Code:34442-3500
Practice Address - Country:US
Practice Address - Phone:352-897-5293
Practice Address - Fax:352-897-5307
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-27
Last Update Date:2017-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Single Specialty