Healthcare Provider Details

I. General information

NPI: 1992615322
Provider Name (Legal Business Name): BLACKSTONE HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2830 BEE RIDGE RD
SARASOTA FL
34239-7115
US

IV. Provider business mailing address

2830 BEE RIDGE RD
SARASOTA FL
34239-7115
US

V. Phone/Fax

Practice location:
  • Phone: 941-927-1234
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: THOMAS J HYNDS JR.
Title or Position: OWNER/CHIROPRACTOR
Credential: DC
Phone: 941-960-0634