# HEALTHY LIFE ACUPUNCTURE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Healthy Life Acupuncture LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538740386
- **Authorized official:** GINA BUSHELON AP, DOM (OWNER)
- **Authorized official phone:** (138) 676-7736

## Contact information

- **Practice address:** 808 DUNLAWTON AVE STE 3, PORT ORANGE, FL 32127-9284
- **Practice address phone:** (386) 767-7366
- **Practice address fax:** (386) 200-6263
- **Mailing address:** 808 DUNLAWTON AVE STE 3, PORT ORANGE, FL 32127-9284
- **Mailing address phone:** (386) 767-7366
- **Mailing address fax:** (386) 200-6263

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | — | — | Yes |

## Other

- **Enumeration date:** 04/14/2021
- **Last updated:** 04/14/2021