Port Orange Acupuncture LLC
Clinic/Center in Port Orange, FL. Organization (NPI-2).
NPI number1265780720
StatusActive
Last updated in NPPESMay 4, 2017
Details
- NPI
- 1265780720
- Entity type
- Organization (NPI-2)
- Legal business name
- Port Orange Acupuncture LLC
- Organization subpart
- No
- Enumeration date
- Aug 15, 2012
- Last updated
- May 4, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | AP3008 | FL | Yes |
| 261Q00000X | Clinic/Center | MA38975 | FL |
Practice location
100 Cessna BlvdSuite B
Port Orange, FL 32128-6969
Phone 386-761-8818
Mailing address
100 Cessna BlvdSuite B
Port Orange, FL 32128-6969
Phone 386-761-8818
Authorized official
Meaghan E Phillips
Owner
3863143959
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