Provider Demographics
NPI:1528367679
Name:INTUITIVE SCENTS LLC
Entity Type:Organization
Organization Name:INTUITIVE SCENTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURE PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:MYA
Authorized Official - Middle Name:D
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:AP, LAC
Authorized Official - Phone:561-702-5168
Mailing Address - Street 1:1298 NE 33RD ST
Mailing Address - Street 2:APT. A
Mailing Address - City:OAKLAND PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33334-4510
Mailing Address - Country:US
Mailing Address - Phone:561-702-5168
Mailing Address - Fax:
Practice Address - Street 1:1298 NE 33RD ST
Practice Address - Street 2:APT. A
Practice Address - City:OAKLAND PARK
Practice Address - State:FL
Practice Address - Zip Code:33334-4510
Practice Address - Country:US
Practice Address - Phone:561-702-5168
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-15
Last Update Date:2011-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2907171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty