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NPI Code Detail

MEDICARE: HEALTHY HEALING ACUPUNCTURE AND HERBAL CENTER LLC

MEDICARE: HEALTHY HEALING ACUPUNCTURE AND HERBAL CENTER LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171100000XAcupuncturistAP2871FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11902115116OTHERFLINDIVIDUAL NPI

General Provider Information

NPI Number : 1255638011
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEALTHY HEALING ACUPUNCTURE AND HERBAL CENTER LLC
Provider Business Mailing Address
First Line : 1395 N COURTENAY PKWY STE 202
Second Line :
City : MERRITT ISLAND
State : FL
Zip : 32953-4475
Country : US
Telephone Number : 321-252-3720
Fax Number : 321-252-3752
Provider Business Practice Location Address
First Line : 1395 N COURTENAY PKWY STE 202
Second Line :
City : MERRITT ISLAND
State : FL
Zip : 32953-4475
Country : US
Telephone Number : 321-252-3720
Fax Number : 321-252-3752
Authorized Official
Title or Position : PRESIDENT
Name : MRS. DIANNE SAID
Credential : LAC
Telephone Number : 321-252-3720
Provider Enumeration Date : 02/14/2011
Last Update Date : 02/14/2011

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Directions to “HEALTHY HEALING ACUPUNCTURE AND HERBAL CENTER LLC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.