Healthcare Provider Details

I. General information

NPI: 1043657604
Provider Name (Legal Business Name): SANDHILL HEALING CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2013
Last Update Date: 05/22/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24451 SANDHILL BLVD B
PUNTA GORDA FL
33983-5214
US

IV. Provider business mailing address

24451 SANDHILL BLVD B
PUNTA GORDA FL
33983-5214
US

V. Phone/Fax

Practice location:
  • Phone: 941-235-8929
  • Fax: 941-235-8948
Mailing address:
  • Phone: 941-235-8929
  • Fax: 941-235-8948

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAP1213
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA13356
License Number StateFL

VIII. Authorized Official

Name: CECELIA HILL
Title or Position: OWNER
Credential: AP
Phone: 941-235-8929