Healthcare Provider Details

I. General information

NPI: 1457622565
Provider Name (Legal Business Name): FALCON HEALING INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/20/2012
Last Update Date: 11/11/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7800 RED ROAD SUITE 108
MIAMI FL
33143-7927
US

IV. Provider business mailing address

8316 SW 65TH AVE APT 3
MIAMI FL
33143-7927
US

V. Phone/Fax

Practice location:
  • Phone: 305-721-7682
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAP 3336
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA 57057
License Number StateFL

VIII. Authorized Official

Name: GRETEL GARCIA
Title or Position: PRESIDENT
Credential: A.P, LMT
Phone: 305-721-7682