Provider Demographics
NPI:1598112195
Name:RESONANCE ACUPUNCTURE & HOLISTIC HEALTH SOLUTION LLC
Entity Type:Organization
Organization Name:RESONANCE ACUPUNCTURE & HOLISTIC HEALTH SOLUTION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAURE
Authorized Official - Middle Name:E
Authorized Official - Last Name:QUINTANA
Authorized Official - Suffix:
Authorized Official - Credentials:AP
Authorized Official - Phone:407-951-2253
Mailing Address - Street 1:665 HAROLD AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789-4677
Mailing Address - Country:US
Mailing Address - Phone:407-951-2253
Mailing Address - Fax:407-302-9899
Practice Address - Street 1:665 HAROLD AVE
Practice Address - Street 2:SUITE A
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-4677
Practice Address - Country:US
Practice Address - Phone:407-951-2253
Practice Address - Fax:407-302-9899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-24
Last Update Date:2016-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP3386171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLC00THOtherBLUE CROSS BLUE SHIELD