Provider Demographics
NPI:1962458307
Name:GARDENS WHOLISTIC HEALTH CENTER LLC
Entity Type:Organization
Organization Name:GARDENS WHOLISTIC HEALTH CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:J
Authorized Official - Last Name:RICE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:561-776-5590
Mailing Address - Street 1:1840 FOREST HILL BLVD STE 105
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33406-6055
Mailing Address - Country:US
Mailing Address - Phone:561-776-5590
Mailing Address - Fax:561-370-6214
Practice Address - Street 1:1840 FOREST HILL BLVD STE 105
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33406-6055
Practice Address - Country:US
Practice Address - Phone:561-439-6644
Practice Address - Fax:561-370-6214
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-26
Last Update Date:2015-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH2834111N00000X, 111NN1001X
FLAP00070171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No111NN1001XChiropractic ProvidersChiropractorNutritionGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty