Healthcare Provider Details

I. General information

NPI: 1356259758
Provider Name (Legal Business Name): ROOTED ACUPUNCTURE AND WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2026
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

303 TAMIAMI TRL S STE H
NOKOMIS FL
34275-3104
US

IV. Provider business mailing address

303 TAMIAMI TRL S STE H
NOKOMIS FL
34275-3104
US

V. Phone/Fax

Practice location:
  • Phone: 941-444-9408
  • Fax:
Mailing address:
  • Phone: 941-444-9408
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: SAMANTHA HERNANDEZ
Title or Position: OWNER
Credential:
Phone: 941-444-9408