| |
7 E Colonial Dr, Orlando, FL 32801-1215 | |
(407) 236-7400 | |
Not Available |
Full Name | |
---|---|
Type | Facility |
Speciality | Acupuncturist |
Location | 7 E Colonial Dr, Orlando, Florida |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730620337 | NPI | - | NPPES |
004097300 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111NR0400X | Chiropractor - Rehabilitation | CH8212 (Florida) | Secondary |
171100000X | Acupuncturist | AP2198 (Florida) | Primary |
Mailing Address | Practice Location Address |
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7 E Colonial Dr, Orlando, FL 32801-1215 Ph: (407) 236-7400 | 7 E Colonial Dr, Orlando, FL 32801-1215 Ph: (407) 236-7400 |