Healthcare Provider Details

I. General information

NPI: 1134545551
Provider Name (Legal Business Name): HUO ACUPUNCTURE AND NATURAL HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/10/2014
Last Update Date: 03/10/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6906 ALOMA AVE
WINTER PARK FL
32792-7003
US

IV. Provider business mailing address

6906 ALOMA AVE
WINTER PARK FL
32792-7003
US

V. Phone/Fax

Practice location:
  • Phone: 407-312-9169
  • Fax:
Mailing address:
  • Phone: 407-312-9169
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAP3188
License Number StateFL

VIII. Authorized Official

Name: ENDA HUO
Title or Position: ACUPUNCTURE PHYSICIAN
Credential: A.P.
Phone: 407-312-9169