Provider Demographics
NPI:1578043550
Name:BIOKINESIS
Entity Type:Organization
Organization Name:BIOKINESIS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRICEIDA
Authorized Official - Middle Name:
Authorized Official - Last Name:VEGA CASTILLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-272-0443
Mailing Address - Street 1:341 SPRINGVIEW DR
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:FL
Mailing Address - Zip Code:32773-5996
Mailing Address - Country:US
Mailing Address - Phone:407-272-0443
Mailing Address - Fax:
Practice Address - Street 1:237 LOOKOUT PL
Practice Address - Street 2:
Practice Address - City:MAITLAND
Practice Address - State:FL
Practice Address - Zip Code:32751-8433
Practice Address - Country:US
Practice Address - Phone:407-412-2029
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-18
Last Update Date:2018-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty