Provider Demographics
NPI: | 1386929792 |
---|---|
Name: | FEEL BETTER OCALA, INC |
Entity type: | Organization |
Organization Name: | FEEL BETTER OCALA, INC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | OWNER/PROVIDER |
Authorized Official - Prefix: | MS |
Authorized Official - First Name: | DEBRA |
Authorized Official - Middle Name: | DEE |
Authorized Official - Last Name: | CARLIN |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | MASSAGE THERAPIST |
Authorized Official - Phone: | 352-694-6044 |
Mailing Address - Street 1: | 535 NE 36TH AVE |
Mailing Address - Street 2: | 1 |
Mailing Address - City: | OCALA |
Mailing Address - State: | FL |
Mailing Address - Zip Code: | 34470-1325 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 352-694-6044 |
Mailing Address - Fax: | 352-624-9240 |
Practice Address - Street 1: | 535 NE 36TH AVE |
Practice Address - Street 2: | 1 |
Practice Address - City: | OCALA |
Practice Address - State: | FL |
Practice Address - Zip Code: | 34470-1325 |
Practice Address - Country: | US |
Practice Address - Phone: | 352-694-6044 |
Practice Address - Fax: | 352-624-9240 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2011-10-17 |
Last Update Date: | 2011-10-17 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
FL | MA0028872 | 302R00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 302R00000X | Managed Care Organizations | Health Maintenance Organization |