Healthcare Provider Details
I. General information
NPI: 1023087947
Provider Name (Legal Business Name): ORIENTAL MEDICINE ASSOCIATES, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/14/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
100 NE 15TH ST SUITE 103-B
HOMESTEAD FL
33030-4581
US
IV. Provider business mailing address
100 NE 15TH ST SUITE 103-B
HOMESTEAD FL
33030-4581
US
V. Phone/Fax
- Phone: 305-247-8178
- Fax: 305-248-9275
- Phone: 305-247-8178
- Fax: 305-248-9275
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 171100000X |
| Taxonomy | Acupuncturist |
| License Number | # 700 |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 175F00000X |
| Taxonomy | Naturopath |
| License Number | 248 |
| License Number State | ID |
VIII. Authorized Official
Name:
CHARLOTTE
A
JAMES
Title or Position: PRESIDENT
Credential: DOCTOR ORIENTAL MEDI
Phone: 305-247-8178