Healthcare Provider Details

I. General information

NPI: 1780827311
Provider Name (Legal Business Name): MICHAEL ARTHUR ACUPUNCTURE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2009
Last Update Date: 08/11/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

622 N THORNTON AVE SUITE B
ORLANDO FL
32803-4685
US

IV. Provider business mailing address

622 N THORNTON AVE SUITE B
ORLANDO FL
32803-4685
US

V. Phone/Fax

Practice location:
  • Phone: 407-574-2871
  • Fax:
Mailing address:
  • Phone: 407-574-2871
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License NumberAP2674
License Number StateFL

VIII. Authorized Official

Name: MICHAEL A ARTHUR
Title or Position: MANAGING MEMBER
Credential: A.P.
Phone: 407-574-2871