Healthcare Provider Details

I. General information

NPI: 1548476542
Provider Name (Legal Business Name): ACUPUNCTURE & NATURAL HEALING CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

921 SE OCEAN BLVD SUITE 2
STUART FL
34994-2400
US

IV. Provider business mailing address

921 SE OCEAN BLVD SUITE 2
STUART FL
34994-2400
US

V. Phone/Fax

Practice location:
  • Phone: 772-781-5353
  • Fax: 772-781-2871
Mailing address:
  • Phone: 772-781-5353
  • Fax: 772-781-2871

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAP 729
License Number StateFL

VIII. Authorized Official

Name: MS. BARBARA S. THURMAN
Title or Position: VICE PRESIDENT
Credential: A.P.
Phone: 772-781-5353