Healthcare Provider Details

I. General information

NPI: 1891260170
Provider Name (Legal Business Name): THE HEALTH HUB
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/12/2018
Last Update Date: 10/12/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

114 6TH AVE STE 3
INDIALANTIC FL
32903-3255
US

IV. Provider business mailing address

114 6TH AVE STE 3
INDIALANTIC FL
32903-3255
US

V. Phone/Fax

Practice location:
  • Phone: 321-722-6722
  • Fax:
Mailing address:
  • Phone: 321-722-6722
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: REBECCA FREEHILL
Title or Position: OWNER
Credential: LMT
Phone: 321-405-9192