Provider Demographics
NPI:1679952600
Name:LIFE FORCE HEALTH AND WELLNESS LL
Entity Type:Organization
Organization Name:LIFE FORCE HEALTH AND WELLNESS LL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:DIANNE
Authorized Official - Middle Name:P
Authorized Official - Last Name:VOITLE
Authorized Official - Suffix:
Authorized Official - Credentials:DOM/AP
Authorized Official - Phone:352-745-7554
Mailing Address - Street 1:2727B NW 43RD STREET #8
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32606
Mailing Address - Country:US
Mailing Address - Phone:352-745-7554
Mailing Address - Fax:352-240-6959
Practice Address - Street 1:2727 NW 43RD ST STE 8B
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32606-6632
Practice Address - Country:US
Practice Address - Phone:352-745-7554
Practice Address - Fax:352-240-6959
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-22
Last Update Date:2015-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty