Healthcare Provider Details

I. General information

NPI: 1679229751
Provider Name (Legal Business Name): MY HEALTH ACUPUNCTURE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2022
Last Update Date: 02/26/2022
Certification Date: 02/26/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 N DIXIE HWY STE 109
BOCA RATON FL
33432-1807
US

IV. Provider business mailing address

1700 N DIXIE HWY STE 109
BOCA RATON FL
33432-1807
US

V. Phone/Fax

Practice location:
  • Phone: 954-470-8371
  • Fax:
Mailing address:
  • Phone: 954-470-8371
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: DR. FANGMING XU
Title or Position: ADMINISTRATOR
Credential:
Phone: 954-470-8371