Provider Demographics
NPI:1700376399
Name:HOLISTIC FAMILY CARE LLC
Entity Type:Organization
Organization Name:HOLISTIC FAMILY CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:AP
Authorized Official - Phone:407-885-8255
Mailing Address - Street 1:114 W UNDERWOOD ST STE A
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32806-1138
Mailing Address - Country:US
Mailing Address - Phone:407-885-8255
Mailing Address - Fax:
Practice Address - Street 1:114 W UNDERWOOD ST STE A
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-1138
Practice Address - Country:US
Practice Address - Phone:407-885-8255
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-18
Last Update Date:2018-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty