=====================================================
General NPI Number Information
=====================================================
NPI Number | 1336011543
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | LILLY HARMONY ACUPUNCTURE LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/18/2025
-----------------------------------------------------
Last Update Date | 09/18/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 8500 SW 8TH ST STE 222
-----------------------------------------------------
City | MIAMI
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33144-4002
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 786-262-4330
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 8500 SW 8TH ST STE 222
-----------------------------------------------------
City | MIAMI
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33144-4002
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-262-4330
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR
-----------------------------------------------------
Name | LILLIAM BOTTARO
-----------------------------------------------------
Credential | AP
-----------------------------------------------------
Telephone | 786-262-4330
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 171100000X
-----------------------------------------------------
Taxonomy Name | Acupuncturist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------