Provider Demographics
NPI:1265252159
Name:HONE INTO WELLNESS LLC
Entity type:Organization
Organization Name:HONE INTO WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MOUSA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-445-0920
Mailing Address - Street 1:7000 TIDES CIR UNIT 174
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34240-1319
Mailing Address - Country:US
Mailing Address - Phone:941-445-0920
Mailing Address - Fax:
Practice Address - Street 1:3900 CLARK RD
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34233-2301
Practice Address - Country:US
Practice Address - Phone:941-445-0920
Practice Address - Fax:941-907-8206
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-15
Last Update Date:2024-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty