Healthcare Provider Details

I. General information

NPI: 1902711088
Provider Name (Legal Business Name): GAIA INTEGRATIVE HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1950 LEE RD STE 210
WINTER PARK FL
32789-1863
US

IV. Provider business mailing address

1070 MONTGOMERY RD # 2392
ALTAMONTE SPRINGS FL
32714-7420
US

V. Phone/Fax

Practice location:
  • Phone: 813-624-2491
  • Fax:
Mailing address:
  • Phone: 813-624-2491
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: HOSANNA SEBASTIAN
Title or Position: OWNER
Credential: LAC
Phone: 813-624-2491