Provider Demographics
NPI:1811059389
Name:HEALTHSENSE INC
Entity type:Organization
Organization Name:HEALTHSENSE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:OKARSKI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:386-672-6642
Mailing Address - Street 1:305 CLYDE MORRIS BLVD
Mailing Address - Street 2:#120
Mailing Address - City:ORMOND BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32174-8181
Mailing Address - Country:US
Mailing Address - Phone:386-672-6642
Mailing Address - Fax:386-672-7288
Practice Address - Street 1:305 CLYDE MORRIS BLVD
Practice Address - Street 2:#120
Practice Address - City:ORMOND BEACH
Practice Address - State:FL
Practice Address - Zip Code:32174-8181
Practice Address - Country:US
Practice Address - Phone:386-672-6642
Practice Address - Fax:386-672-7288
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH7348111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK0179Medicare ID - Type Unspecified