Spa Longevita Acupuncture & Herbal Medicine

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AP2936 Issued in FL

Legal business name

SPA LONGEVITA ACUPUNCTURE & HERBAL MEDICINE

Practice address

3730 Avalon Park Blvd E # 8
Orlando, FL 32828-4805

Phone

(407) 440-3990

NPI assigned

Sep 12, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Brooke E Higginis, DO

Title

Owner

Phone

(440) 440-3990

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1442016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442016000000",
    "number": "1144698713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3730 AVALON PARK BLVD E # 8",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328284805",
            "telephone_number": "407-440-3990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3730 AVALON PARK BLVD E # 8",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328284805",
            "telephone_number": "407-440-3990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPA LONGEVITA ACUPUNCTURE & HERBAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-12",
        "last_updated": "2015-09-12",
        "status": "A",
        "authorized_official_last_name": "HIGGINIS",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-440-3990",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP2936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sovereign Healthcare of Orlando, LLC
• Lori Sowa, CRNA
• Brianna Sowers
• Sofia Mae Sozio
• Arelis M Sozzi, RBT
• Lawrence D Spack, MD
• Angela S Spadaro, MA CCC SLP
• Gabriella Spadaro
• Anthony Frank Spadavecchio, L.M.T.
• Jackie Spain

• Acupuncturist in Orlando, FL
• Providers in Orlando, FL by specialty
• Acupuncturist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.