Healthcare Provider Details
I. General information
NPI: 1205128923
Provider Name (Legal Business Name): NSEV HEALING
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/13/2011
Last Update Date: 05/13/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
975 W 41ST ST STE 211
MIAMI BEACH FL
33140-3341
US
IV. Provider business mailing address
975 W 41ST ST STE 211
MIAMI BEACH FL
33140-3341
US
V. Phone/Fax
- Phone: 305-532-0777
- Fax: 305-532-0888
- Phone: 305-532-0777
- Fax: 305-532-0888
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 171100000X |
| Taxonomy | Acupuncturist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
ORION
ATCHISON-NEVEL
Title or Position: PRESIDENT
Credential:
Phone: 305-672-3901