Healthcare Provider Details

I. General information

NPI: 1770487233
Provider Name (Legal Business Name): HEALTHY ZEN LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 ARTHUR AVE
ORLANDO FL
32804-2827
US

IV. Provider business mailing address

3163 INTEGRA LAKES LN APT 217
CASSELBERRY FL
32707-3889
US

V. Phone/Fax

Practice location:
  • Phone: 407-734-1527
  • Fax:
Mailing address:
  • Phone: 301-633-0101
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: OMAR HAYE
Title or Position: OWNER
Credential: L.AC.
Phone: 407-734-1527