Organization · NPI-2
Ancient Future Medicine
Acupuncturist · Tampa, FL
NPI number1154925683
StatusActive
Last updated in NPPESNov 25, 2020
Details
- NPI
- 1154925683
- Entity type
- Organization (NPI-2)
- Legal business name
- Ancient Future Medicine
- Organization subpart
- No
- Enumeration date
- Nov 25, 2020
- Certification date
- Nov 25, 2020
- Last updated
- Nov 25, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171100000X | Acupuncturist | – | – | Yes |
Practice location
3317 W Ballast Point BlvdTampa, FL 33611-3905
Phone 813-805-7425
Mailing address
3317 W Ballast Point BlvdTampa, FL 33611-3905
Phone 813-805-7425
Authorized official
Carmen Ramirez
Acupuncturist
8138057425
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