Healthcare Provider Details

I. General information

NPI: 1851677173
Provider Name (Legal Business Name): STILLPOINT THERAPY CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2011
Last Update Date: 08/08/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2730 NW 39TH AVE
GAINESVILLE FL
32605-2263
US

IV. Provider business mailing address

2730 NW 39TH AVE
GAINESVILLE FL
32605-2263
US

V. Phone/Fax

Practice location:
  • Phone: 352-376-1320
  • Fax: 352-376-1340
Mailing address:
  • Phone: 352-376-1320
  • Fax: 352-376-1340

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAP1152
License Number StateFL

VIII. Authorized Official

Name: DR. WILLIAM SCOTT BARNETT
Title or Position: DIRECTOR
Credential: AP
Phone: 352-246-9097