Provider Demographics
NPI:1013678242
Name:URBAN PLANTATIONS, LLC
Entity Type:Organization
Organization Name:URBAN PLANTATIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:D.O.M.
Authorized Official - Prefix:DR
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:JEANINE
Authorized Official - Last Name:WALDEN
Authorized Official - Suffix:
Authorized Official - Credentials:ORIENTAL MEDICINE
Authorized Official - Phone:772-837-0810
Mailing Address - Street 1:5831 SE RIVERBOAT DR # 413
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34997-1508
Mailing Address - Country:US
Mailing Address - Phone:772-837-0810
Mailing Address - Fax:
Practice Address - Street 1:5759 SE FEDERAL HWY
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34997-8545
Practice Address - Country:US
Practice Address - Phone:772-837-0810
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-10
Last Update Date:2022-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty