Provider Demographics
NPI:1063125300
Name:THE HEALER'S HERALD LLC
Entity type:Organization
Organization Name:THE HEALER'S HERALD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNTURE PHYSICIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NICOLAS
Authorized Official - Middle Name:ALEXANDER
Authorized Official - Last Name:RAMIREZ
Authorized Official - Suffix:
Authorized Official - Credentials:AP
Authorized Official - Phone:954-895-1675
Mailing Address - Street 1:4971 SW 170TH AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTHWEST RANCHES
Mailing Address - State:FL
Mailing Address - Zip Code:33331-1256
Mailing Address - Country:US
Mailing Address - Phone:954-895-1675
Mailing Address - Fax:
Practice Address - Street 1:8059 W MCNAB RD STE 8
Practice Address - Street 2:
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33321-3254
Practice Address - Country:US
Practice Address - Phone:954-895-1675
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE HEALER'S HERALD LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-01-02
Last Update Date:2023-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center