Provider Demographics
NPI:1497356455
Name:HOLISTIC CARE LLC
Entity Type:Organization
Organization Name:HOLISTIC CARE LLC
Other - Org Name:HOLISTIC CARE LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DR
Authorized Official - Prefix:DR
Authorized Official - First Name:EMILIA
Authorized Official - Middle Name:C
Authorized Official - Last Name:CABRERA
Authorized Official - Suffix:
Authorized Official - Credentials:DAOM
Authorized Official - Phone:786-863-1114
Mailing Address - Street 1:1108 KANE CONCOURSE STE 205
Mailing Address - Street 2:
Mailing Address - City:BAY HARBOR ISLANDS
Mailing Address - State:FL
Mailing Address - Zip Code:33154-2068
Mailing Address - Country:US
Mailing Address - Phone:786-863-1114
Mailing Address - Fax:305-709-0563
Practice Address - Street 1:1108 KANE CONCOURSE STE 205
Practice Address - Street 2:
Practice Address - City:BAY HARBOR ISLANDS
Practice Address - State:FL
Practice Address - Zip Code:33154-2068
Practice Address - Country:US
Practice Address - Phone:786-863-1114
Practice Address - Fax:305-709-0563
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-05
Last Update Date:2020-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Single Specialty