Provider Demographics
NPI:1487463279
Name:EQUILIBRI HEALTH AND WELLNESS PLLC
Entity type:Organization
Organization Name:EQUILIBRI HEALTH AND WELLNESS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NP/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRANDI
Authorized Official - Middle Name:JUNE
Authorized Official - Last Name:RHODY
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:910-330-0292
Mailing Address - Street 1:10841 PARK DR
Mailing Address - Street 2:
Mailing Address - City:RIVERVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:33569-5148
Mailing Address - Country:US
Mailing Address - Phone:813-725-1775
Mailing Address - Fax:813-725-2680
Practice Address - Street 1:10841 PARK DR
Practice Address - Street 2:
Practice Address - City:RIVERVIEW
Practice Address - State:FL
Practice Address - Zip Code:33569-5148
Practice Address - Country:US
Practice Address - Phone:813-725-1775
Practice Address - Fax:833-438-5175
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-06
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty