Provider Demographics
NPI:1306260989
Name:PALM BEACH HEALING ARTS
Entity type:Organization
Organization Name:PALM BEACH HEALING ARTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:BORSE
Authorized Official - Suffix:
Authorized Official - Credentials:AP
Authorized Official - Phone:561-429-2586
Mailing Address - Street 1:3111 S DIXIE HWY
Mailing Address - Street 2:SUITE 308
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33405-1557
Mailing Address - Country:US
Mailing Address - Phone:561-429-2586
Mailing Address - Fax:888-972-1091
Practice Address - Street 1:3111 S DIXIE HWY
Practice Address - Street 2:SUITE 308
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33405-1557
Practice Address - Country:US
Practice Address - Phone:561-429-2586
Practice Address - Fax:888-972-1091
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-18
Last Update Date:2014-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP3072171100000X
FLAP 2940171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty