Healthcare Provider Details

I. General information

NPI: 1891730206
Provider Name (Legal Business Name): ORIENTAL MEDICAL CLINIC OF FLORIDA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2006
Last Update Date: 06/29/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3101 MEDICAL WAY SUITE 2
SEBRING FL
33870-5548
US

IV. Provider business mailing address

3101 MEDICAL WAY SUITE 2
SEBRING FL
33870-5548
US

V. Phone/Fax

Practice location:
  • Phone: 863-386-5050
  • Fax: 863-402-1090
Mailing address:
  • Phone: 863-386-5050
  • Fax: 863-402-1090

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: JEANIE O LEE
Title or Position: OWNER
Credential: D.A.O.M.
Phone: 863-386-5050