# LIFE IS QI

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003221110
- **Authorized official:** ODIN GUTIERREZ (PRESIDENT)
- **Authorized official phone:** (786) 564-1881

## Contact information

- **Practice address:** 1650 NE 26TH ST, SUITE 101, WILTON MANORS, FL 33305-1431
- **Practice address phone:** (786) 564-1881
- **Mailing address:** 1650 NE 26TH ST, SUITE 101, WILTON MANORS, FL 33305-1431
- **Mailing address phone:** (786) 564-1881

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | AP2616 | FL | Yes |

## Other

- **Enumeration date:** 06/26/2014
- **Last updated:** 06/26/2014