Provider Demographics
NPI:1952063208
Name:BIRCH TREE ACUPUNCTURE AND WELLNESS CENTER, LLC
Entity Type:Organization
Organization Name:BIRCH TREE ACUPUNCTURE AND WELLNESS CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANITA
Authorized Official - Middle Name:
Authorized Official - Last Name:HARMAT
Authorized Official - Suffix:
Authorized Official - Credentials:AP, DOM
Authorized Official - Phone:941-307-7227
Mailing Address - Street 1:14831 SKIP JACK LOOP
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD RANCH
Mailing Address - State:FL
Mailing Address - Zip Code:34202-5878
Mailing Address - Country:US
Mailing Address - Phone:941-307-7227
Mailing Address - Fax:941-919-2775
Practice Address - Street 1:3385 MAGIC OAK LN
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34232-1821
Practice Address - Country:US
Practice Address - Phone:941-307-7227
Practice Address - Fax:941-919-2775
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-13
Last Update Date:2021-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty