Healthcare Provider Details
I. General information
NPI: 1952517757
Provider Name (Legal Business Name): ACUPUNCTURE & PHYSICAL THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/16/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5401 COLLINS AVE #C012
MIAMI BEACH FL
33140
US
IV. Provider business mailing address
5401 COLLINS AVE #C012
MIAMI BEACH FL
33140
US
V. Phone/Fax
- Phone: 305-866-6911
- Fax: 305-864-1274
- Phone: 305-866-6911
- Fax: 305-864-1274
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 171100000X |
| Taxonomy | Acupuncturist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
VICTOR
J
CHIN
Title or Position: ACUPUNCTURE PHYSICIAN
Credential: AP
Phone: 305-866-6911