Provider Demographics
NPI:1063204352
Name:MARIA VILLELLA ACUPUNCTURE LLC
Entity type:Organization
Organization Name:MARIA VILLELLA ACUPUNCTURE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:VILLELLA
Authorized Official - Suffix:
Authorized Official - Credentials:LAC, AP
Authorized Official - Phone:310-773-6985
Mailing Address - Street 1:1435 S OSPREY AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239-2905
Mailing Address - Country:US
Mailing Address - Phone:941-867-1258
Mailing Address - Fax:
Practice Address - Street 1:1435 S OSPREY AVE STE 200
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-2905
Practice Address - Country:US
Practice Address - Phone:941-867-1258
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-21
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty