Provider Demographics
NPI:1811574056
Name:NK HOLISTIC
Entity Type:Organization
Organization Name:NK HOLISTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NICK
Authorized Official - Middle Name:
Authorized Official - Last Name:KUSTURIC
Authorized Official - Suffix:
Authorized Official - Credentials:AP
Authorized Official - Phone:954-261-1521
Mailing Address - Street 1:7120 NW 4TH AVE
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33487-2350
Mailing Address - Country:US
Mailing Address - Phone:954-261-1521
Mailing Address - Fax:
Practice Address - Street 1:6056 W BOYNTON BEACH BLVD STE 175
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33437-3500
Practice Address - Country:US
Practice Address - Phone:954-261-1521
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-25
Last Update Date:2021-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty