| Port Orange Acupuncture Llc | |
|
100 Cessna Blvd Suite B Port Orange FL 32128-6969 | |
| (386) 761-8818 | |
| Not Available |
| Full Name | Port Orange Acupuncture Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 100 Cessna Blvd, Port Orange, Florida |
| Authorized Official Name and Position | Meaghan E Phillips (OWNER) |
| Authorized Official Contact | 3863143959 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Port Orange Acupuncture Llc 100 Cessna Blvd Suite B Port Orange FL 32128-6969 Ph: (386) 761-8818 | Port Orange Acupuncture Llc 100 Cessna Blvd Suite B Port Orange FL 32128-6969 Ph: (386) 761-8818 |
| NPI Number | 1265780720 |
|---|---|
| Provider Enumeration Date | 08/15/2012 |
| Last Update Date | 05/04/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265780720 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | AP3008 (Florida) | Primary |
| 261Q00000X | Clinic/center | MA38975 (Florida) | Secondary |
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