Provider Demographics
NPI:1912243940
Name:HEALING CENTRE LLC
Entity Type:Organization
Organization Name:HEALING CENTRE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURE PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:HARVEY
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:KALTSAS
Authorized Official - Suffix:
Authorized Official - Credentials:AP
Authorized Official - Phone:941-366-1110
Mailing Address - Street 1:4370 S TAMIAMI TRL
Mailing Address - Street 2:SUITE 151
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34231-3412
Mailing Address - Country:US
Mailing Address - Phone:941-366-1110
Mailing Address - Fax:
Practice Address - Street 1:4370 S TAMIAMI TRL
Practice Address - Street 2:SUITE 151
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34231-3412
Practice Address - Country:US
Practice Address - Phone:941-366-1110
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-19
Last Update Date:2012-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP135261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center