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NPI Code Detail

MEDICARE: GOLDEN WELLNESS CLINIC

MEDICARE: GOLDEN WELLNESS CLINIC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171100000XAcupuncturist

General Provider Information

NPI Number : 1154814325
Entity Type Code : Organization
Provider Name (Legal Business Name) : GOLDEN WELLNESS CLINIC
Provider Business Mailing Address
First Line : 1969 S ALAFAYA TRL STE 136
Second Line :
City : ORLANDO
State : FL
Zip : 32828-8732
Country : US
Telephone Number : 321-355-0688
Fax Number :
Provider Business Practice Location Address
First Line : 1969 S ALAFAYA TRL STE 136
Second Line :
City : ORLANDO
State : FL
Zip : 32828-8732
Country : US
Telephone Number : 321-355-0688
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : ZILAN HU
Credential :
Telephone Number : 321-355-0688
Provider Enumeration Date : 06/12/2018
Last Update Date : 06/18/2018

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Directions to “GOLDEN WELLNESS CLINIC ” Practice Location

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