Organization Name: | SYMPHONY WELLNESS CENTER LLC |
NPI Number: | 1396798203 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHERIE L HANSEN (PHYSICIAN) |
Mailing Address: | 1730 Sw 1st Ave Ocala |
State: | FL US |
Postal Code: | 344718170 |
Phone Number: | 3526295939 |
Fax Number: | 3526297833 |
NPI Enumeration Date: | 05/19/2006 |
NPI Last Update Date: | 04/01/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | OS8012 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |