Provider Demographics
NPI:1851888044
Name:FOLK PLANT BASE INC.
Entity Type:Organization
Organization Name:FOLK PLANT BASE INC.
Other - Org Name:FOLK -PLANT BASED CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE-PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CARLY
Authorized Official - Middle Name:CLARET
Authorized Official - Last Name:CABEZA
Authorized Official - Suffix:
Authorized Official - Credentials:DAOM
Authorized Official - Phone:305-318-2652
Mailing Address - Street 1:1819 WEST AVE UNIT 5
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33139-1440
Mailing Address - Country:US
Mailing Address - Phone:786-464-9655
Mailing Address - Fax:786-369-0195
Practice Address - Street 1:1819 WEST AVE UNIT 5
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33139-1440
Practice Address - Country:US
Practice Address - Phone:786-464-9655
Practice Address - Fax:786-369-0195
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-13
Last Update Date:2018-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP3131171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty