# GOOD LIFE HEALING CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972879096
- **Authorized official:** HILARY GUSEMAN (BOOKKEEPER)
- **Authorized official phone:** (941) 301-8485

## Contact information

- **Practice address:** 5325 LENA RD STE 101, BRADENTON, FL 34211-9442
- **Practice address phone:** (941) 301-8485
- **Practice address fax:** (941) 799-6841
- **Mailing address:** 7401 50TH TER E, BRADENTON, FL 34203-7903
- **Mailing address phone:** (941) 567-6465

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | AP3090 | FL | Yes |

## Other

- **Enumeration date:** 03/23/2012
- **Last updated:** 10/27/2020