Provider Demographics
NPI:1508207648
Name:BEING HEALTHY LLC
Entity Type:Organization
Organization Name:BEING HEALTHY LLC
Other - Org Name:ACTIVERX OF LADY LAKE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO-OWNER & OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:UTKARSH
Authorized Official - Middle Name:S
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:352-205-9897
Mailing Address - Street 1:201 W GUAVA ST
Mailing Address - Street 2:SUITE 206
Mailing Address - City:LADY LAKE
Mailing Address - State:FL
Mailing Address - Zip Code:32159-1701
Mailing Address - Country:US
Mailing Address - Phone:352-205-9897
Mailing Address - Fax:888-426-0410
Practice Address - Street 1:201 W GUAVA ST
Practice Address - Street 2:SUITE 206
Practice Address - City:LADY LAKE
Practice Address - State:FL
Practice Address - Zip Code:32159-1701
Practice Address - Country:US
Practice Address - Phone:352-205-9897
Practice Address - Fax:888-426-0410
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-16
Last Update Date:2014-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL125278261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy