HEATHER HICKSON LAC LLC (NPI# 1407381940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407381940 |
| Entity Type | Organization |
| Organization Name | HEATHER HICKSON LAC LLC |
| Practice Address |
5353 North Federal Highway Ste 220 Fort Lauderdale FL 33308 |
| Practice Telephone | 9544617529 |
| Mailing Telephone | 9544617529 |
| Enumeration Date | 2017-04-21 |
| Last Update Date | 2017-04-21 |
| Authorized Official Name | HEATHER M HICKSON (ACUPUNCTURIST) |
| Authorized Official Telephone | 9544617529 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
AP3408 | FL | Ambulatory Health Care Facilities |
| Street Address |
5353 NORTH FEDERAL HIGHWAY STE 220 |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215558788 | Marina Silva Ferreira | Student in an Organized Health Care Education/Training Program | Univ of Miami Miller School of Med Holy Cross Hospital, 4725 N Federal Highway, Fort Lauderdale, FL 33308 | 2020-05-06 |
| 1013538040 | Mehak Bansal | Student in an Organized Health Care Education/Training Program | 4725 N Federal Highway University of Miami, Miller School of Medicine Holy Cross Hospital Internal, Fort Lauderdale, FL 33308 | 2020-04-30 |
| 1285269266 | Roman Castell | Massage Therapist | 2480 E Commercial Blvd Ste 3, Fort Lauderdale, FL 33308 | 2020-03-10 |
| 1124667969 | Icarevip, Inc | Internal Medicine | 4800 N. Federal Highway, Suite 200, Fort Lauderdale, FL 33308 | 2019-12-26 |
| 1629612932 | Lana A Simmonds | Nurse Practitioner | 4390 N. Federal Hwy, Unit 101, Fort Lauderdale, FL 33308 | 2019-10-30 |
| 1063997260 | Kneaded Therapy, Inc | Physical Medicine & Rehabilitation | 2746 E Commerical Blvd., Ft. Lauderdale, FL 33308 | 2018-10-03 |
| 1518452184 | Colleen Lynn Culbertson | Nurse Anesthetist, Certified Registered | 1930 Ne 47th St Ste 308, Ft Lauderdale, FL 33308 | 2018-06-26 |
| 1962910562 | Healing Therapy Center Pllc | Social Worker | Healing Therapy, 1919 Ne 45th Street, Suite 225, Ft. Lauderale, FL 33308 | 2018-01-17 |
| 1376066647 | Carlos Jose Garcia | Student in an Organized Health Care Education/Training Program | 4725 North Federal Highway Suite 501, Fort Lauderdale, FL 33308 | 2017-07-19 |
| 1265983498 | Bliss Recovery Center LLC | Substance Abuse Rehabilitation Facility | 3012 E Commercial Blvd Ste 2, Fort Lauderdale, FL 33308 | 2016-10-24 |
| Find all providers in zip 33308 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699286104 | Synergy Medical Solutions LLC | Clinic/Center | 2425 E Commercial Blvd Ste 200, Fort Lauderdale, FL 33308-4062 | 2017-10-24 |
| 1265959357 | Florida Mat Physicians, LLC | Clinic/Center | 3113 Stirling Rd Ste 103, Fort Lauderdale, FL 33312-6547 | 2017-08-29 |
| 1164843835 | Csi Pediatric Services, Inc. | Clinic/Center | 303 Nw 1st Ave, Fort Lauderdale, FL 33301-1007 | 2013-12-26 |
| 1508172206 | Choice One Medical Group LLC | Clinic/Center | 511 Ne 3rd Ave, Fort Lauderdale, FL 33301-3235 | 2010-08-19 |
| 1811103120 | Frank G Baratta Md Pa | Clinic/Center | 1880 East Commercial Blvd, Suite 1, Fort Lauderdale, FL 33308-3747 | 2007-05-15 |
| 1407208705 | Dr. Jeffrey Bishop & Associates, LLC | Clinic/Center | 300 W Sunrise Blvd, #3, Fort Lauderdale, FL 33311-6263 | 2016-07-11 |
| 1689039000 | South Florida Anti-aging & Aesthetics, LLC | Clinic/Center | 500 Se 17th St, 200, Fort Lauderdale, FL 33316-2547 | 2015-12-30 |
| 1891160719 | Trilogy Treatment and Wellness Center Inc. | Clinic/Center | 6555 Nw 9th Ave, Suite 112, Fort Lauderdale, FL 33309-2067 | 2015-12-03 |
| 1568701761 | Center for Health & Longevity, LLC | Clinic/Center | 1244 S Federal Hwy, Fort Lauderdale, FL 33316-2074 | 2013-02-07 |
| 1629335294 | Premier Spine Center,inc | Clinic/Center | 2699 Stirling Rd, Suite C-405, Fort Lauderdale, FL 33312-6517 | 2012-04-19 |
| Find all providers in FORT LAUDERDALE | ||||
| City | FORT LAUDERDALE |
| Zip Code | 33308 |
Please comment or provide details below to improve the information on HEATHER HICKSON LAC LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.