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NPI Code Detail

MEDICARE: HOLLYWOOD HOLISTIC HEALTH

MEDICARE: HOLLYWOOD HOLISTIC HEALTH
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
1171100000XAcupuncturistAP 2599FL

General Provider Information

NPI Number : 1659673770
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOLLYWOOD HOLISTIC HEALTH
Provider Business Mailing Address
First Line : 1244 S FEDERAL HWY
Second Line :
City : FT LAUDERDALE
State : FL
Zip : 33316-2074
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1244 S FEDERAL HWY
Second Line : SUITE 207
City : FT LAUDERDALE
State : FL
Zip : 33316-2074
Country : US
Telephone Number : 305-606-7007
Fax Number :
Authorized Official
Title or Position : ACUPUNCTURE PHYSICIAN, BUSINESS OWN
Name : JULIA THOMAS
Credential : AP
Telephone Number : 305-606-7007
Provider Enumeration Date : 11/22/2010
Last Update Date : 02/16/2011

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Directions to “HOLLYWOOD HOLISTIC HEALTH ” Practice Location

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