Provider Demographics
NPI:1669928271
Name:ADVANCED HEALING WELLNESS CENTER
Entity type:Organization
Organization Name:ADVANCED HEALING WELLNESS CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALDA
Authorized Official - Middle Name:
Authorized Official - Last Name:SAINFORT
Authorized Official - Suffix:
Authorized Official - Credentials:MD, MDIV, OMD
Authorized Official - Phone:754-800-2391
Mailing Address - Street 1:20170 PINES BLVD STE 302
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33029-1262
Mailing Address - Country:US
Mailing Address - Phone:754-800-2391
Mailing Address - Fax:
Practice Address - Street 1:20170 PINES BLVD
Practice Address - Street 2:302
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33029
Practice Address - Country:US
Practice Address - Phone:754-800-2391
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-01
Last Update Date:2016-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, EducationGroup - Multi-Specialty