Provider Demographics
NPI:1841569266
Name:HEALTH AND ABUNDANCE INC
Entity Type:Organization
Organization Name:HEALTH AND ABUNDANCE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SUMMER
Authorized Official - Middle Name:HAVEN
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:772-579-2386
Mailing Address - Street 1:652 SW PAAR DR
Mailing Address - Street 2:
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34953-3903
Mailing Address - Country:US
Mailing Address - Phone:772-579-6201
Mailing Address - Fax:
Practice Address - Street 1:787 E PRIMA VISTA BLVD
Practice Address - Street 2:SUITE A
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34952-2201
Practice Address - Country:US
Practice Address - Phone:772-579-6201
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-14
Last Update Date:2011-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty