Healthcare Provider Details

I. General information

NPI: 1285575886
Provider Name (Legal Business Name): FLORIDA SENIOR ACUPUNCTURE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2026
Last Update Date: 04/06/2026
Certification Date: 04/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 SW FEDERAL HWY STE 203
STUART FL
34994-2075
US

IV. Provider business mailing address

215 SW FEDERAL HWY STE 203
STUART FL
34994-2075
US

V. Phone/Fax

Practice location:
  • Phone: 772-600-8460
  • Fax: 772-280-5640
Mailing address:
  • Phone: 772-600-8460
  • Fax: 772-280-5640

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: CRYSTAL STOKES
Title or Position: OWNER
Credential:
Phone: 772-600-8460