Provider Demographics
NPI:1689011884
Name:HOLISTIC HEALTHCARE INC
Entity Type:Organization
Organization Name:HOLISTIC HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MALEA
Authorized Official - Middle Name:
Authorized Official - Last Name:JOEL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:305-453-3337
Mailing Address - Street 1:100460 OVERSEAS HWY
Mailing Address - Street 2:STE 4
Mailing Address - City:KEY LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33037-2547
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:100460 OVERSEAS HWY
Practice Address - Street 2:STE 4
Practice Address - City:KEY LARGO
Practice Address - State:FL
Practice Address - Zip Code:33037-2547
Practice Address - Country:US
Practice Address - Phone:305-453-3337
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-29
Last Update Date:2013-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH10851111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty