Provider Demographics
NPI:1811226988
Name:EUNATURAL HEALTH CARE LLC
Entity Type:Organization
Organization Name:EUNATURAL HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DJUNOT
Authorized Official - Middle Name:
Authorized Official - Last Name:DESTINA
Authorized Official - Suffix:
Authorized Official - Credentials:AP
Authorized Official - Phone:407-826-1977
Mailing Address - Street 1:6052 S ORANGE AVE
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32809-4283
Mailing Address - Country:US
Mailing Address - Phone:407-826-1977
Mailing Address - Fax:
Practice Address - Street 1:6052 S ORANGE AVE
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32809-4283
Practice Address - Country:US
Practice Address - Phone:407-826-1977
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-18
Last Update Date:2009-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP 2750171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty