Greg D Bode, L.Ac., L.M.T.
Acupuncturist in Hollywood, FL. Individual provider (NPI-1).
NPI number1396887170
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1396887170
- Entity type
- Individual (NPI-1)
- Name
- Mr. Greg D Bode
- Credential
- L.Ac., L.M.T.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 12, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171100000X | Acupuncturist | AP1602 | FL | Yes |
| 171100000X | Acupuncturist | 001389 | NY |
Practice location
1940 Harrison StSte. 202
Hollywood, FL 33020-5082
Phone 954-929-9939 · Fax 800-859-8215
Mailing address
Po Box 222221Hollywood, FL 33022-2221
Phone 954-394-0087 · Fax 800-859-8215
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