Classical Oriental Medicine LLC
Clinic/Center, Health Services in Boynton Beach, FL. Organization (NPI-2).
NPI number1881925352
StatusActive
Last updated in NPPESJun 18, 2015
Details
- NPI
- 1881925352
- Entity type
- Organization (NPI-2)
- Legal business name
- Classical Oriental Medicine LLC
- Organization subpart
- No
- Enumeration date
- Jan 24, 2010
- Last updated
- Jun 18, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QH0100X | Clinic/Center, Health Services | AP2398 | FL | Yes |
Practice location
3459 W Woolbright RdBoynton Beach, FL 33436-7246
Phone 561-932-3905
Mailing address
3459 W Woolbright RdBoynton Beach, FL 33436-7246
Phone 561-932-3905
Authorized official
Nelya De Brun
Owner
5619323905
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