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General NPI Number Information
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NPI Number | 1720301021
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Entity Type | Individual
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Provider Name | MONA KHALIL AP
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Gender | Female
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Dates
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Enumeration Date | 03/01/2010
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Last Update Date | 10/10/2025
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Provider Practice Location Address
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Address Line | 1680 SE LYNGATE DR STE 201
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34952-4300
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Country | US
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Telephone | 772-361-1677
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Fax | 772-261-9601
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Provider Business Mailing Address
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Address Line | 681 SW MILLARD DR
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34953-3116
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Country | US
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Telephone | 772-361-1677
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Fax | 772-261-9601
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AP2754
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License Number State | FL
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