Healthcare Provider Details

I. General information

NPI: 1871819821
Provider Name (Legal Business Name): ACUPUNCTURE AND HERB SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2010
Last Update Date: 04/15/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 N HIATUS RD STE 105
PEMBROKE PINES FL
33026-5213
US

IV. Provider business mailing address

10737 S PRESERVE WAY 208
MIRAMAR FL
33025-6557
US

V. Phone/Fax

Practice location:
  • Phone: 561-843-1644
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License NumberAP2754
License Number StateFL

VIII. Authorized Official

Name: MRS. MONA KHALIL
Title or Position: ACUPUNCTURE PHYSICIAN/ OWNER
Credential: AP
Phone: 561-843-1644