Provider Demographics
NPI:1063266260
Name:FLORIDA ACUPUNCTURE AND COUNSELING, INC.
Entity type:Organization
Organization Name:FLORIDA ACUPUNCTURE AND COUNSELING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
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 1A
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:2024-04-15
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty