Provider Demographics
NPI:1548051063
Name:HOLISTIC ONCOLOGY LLC
Entity type:Organization
Organization Name:HOLISTIC ONCOLOGY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HOLISTIC HESALTH PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:RUSSELL
Authorized Official - Middle Name:
Authorized Official - Last Name:LIVWEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-672-5168
Mailing Address - Street 1:399 CAMINO GARDENS BLVD. SUT. 101
Mailing Address - Street 2:STE 101
Mailing Address - City:BOCA BOCA
Mailing Address - State:FL
Mailing Address - Zip Code:33432
Mailing Address - Country:US
Mailing Address - Phone:561-672-5168
Mailing Address - Fax:
Practice Address - Street 1:399 CAMINO GARDENS BLVD STE 101
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33432-5828
Practice Address - Country:US
Practice Address - Phone:561-672-5168
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-14
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Single Specialty