Provider Demographics
NPI:1194124537
Name:BODIES IN BALANCE ACUPUNCTURE, INC.
Entity type:Organization
Organization Name:BODIES IN BALANCE ACUPUNCTURE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:L
Authorized Official - Last Name:FEIGEL
Authorized Official - Suffix:
Authorized Official - Credentials:AP
Authorized Official - Phone:954-461-4209
Mailing Address - Street 1:4131 NW 28TH LN
Mailing Address - Street 2:SUITE 4
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32606-7432
Mailing Address - Country:US
Mailing Address - Phone:352-234-6366
Mailing Address - Fax:305-513-5651
Practice Address - Street 1:4131 NW 28TH LN
Practice Address - Street 2:SUITE 4
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32606-7432
Practice Address - Country:US
Practice Address - Phone:352-234-6366
Practice Address - Fax:305-513-5651
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-21
Last Update Date:2014-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty