Provider Demographics
NPI:1255187290
Name:VIBRANCE ACUPUNCTURE LLC
Entity type:Organization
Organization Name:VIBRANCE ACUPUNCTURE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR.
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:WOODLE
Authorized Official - Suffix:
Authorized Official - Credentials:DOM
Authorized Official - Phone:941-350-4736
Mailing Address - Street 1:3850 S OSPREY AVE STE 202A
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239-6831
Mailing Address - Country:US
Mailing Address - Phone:941-350-4736
Mailing Address - Fax:
Practice Address - Street 1:3850 S OSPREY AVE STE 202A
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-6831
Practice Address - Country:US
Practice Address - Phone:941-350-4736
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-29
Last Update Date:2024-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty