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NPI Code Detail

MEDICARE: BRIGHT SIDE ACUPUNCTURE, INC

MEDICARE: BRIGHT SIDE ACUPUNCTURE, INC
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 : 1851871255
Entity Type Code : Organization
Provider Name (Legal Business Name) : BRIGHT SIDE ACUPUNCTURE, INC
Provider Business Mailing Address
First Line : 617 MARINER WAY
Second Line :
City : ALTAMONTE SPRINGS
State : FL
Zip : 32701-5420
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 210 N WESTMONTE DR STE 2004
Second Line :
City : ALTAMONTE SPRINGS
State : FL
Zip : 32714-3357
Country : US
Telephone Number : 407-675-7757
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : EKATERINA PEART
Credential :
Telephone Number : 813-465-3555
Provider Enumeration Date : 08/16/2018
Last Update Date : 08/16/2018

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Directions to “BRIGHT SIDE ACUPUNCTURE, INC ” Practice Location

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