Provider Demographics
NPI:1952952756
Name:FLORIDA ACUPUNCTURE AND COUNSELING, INC.
Entity Type:Organization
Organization Name:FLORIDA ACUPUNCTURE AND COUNSELING, INC.
Other - Org Name:FLORIDA ACUPUNCTURE AND COUNSELING, LLC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:VICE PRESIDENT, CFO, OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:HARTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-448-5836
Mailing Address - Street 1:2610 NW 43RD ST STE 1B
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32606-6677
Mailing Address - Country:US
Mailing Address - Phone:352-448-5836
Mailing Address - Fax:352-448-7789
Practice Address - Street 1:2610 NW 43RD ST STE 1A
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32606-6677
Practice Address - Country:US
Practice Address - Phone:352-448-5836
Practice Address - Fax:352-448-7789
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-23
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty