# HEALTHEAST MEDICAL GROUP, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Healtheast Medical Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073726378
- **Authorized official:** DR. IRIS CHEN A.P. (ACUPUNCTURE PHYSICIAN)
- **Authorized official phone:** (954) 771-1007

## Contact information

- **Practice address:** 6300 NW 5TH WAY, SUITE 150, FT LAUDERDALE, FL 33309-6110
- **Practice address phone:** (954) 771-1007
- **Practice address fax:** (954) 771-9930
- **Mailing address:** 6300 NW 5TH WAY, SUITE 150, FT LAUDERDALE, FL 33309-6110
- **Mailing address phone:** (954) 771-1007
- **Mailing address fax:** (954) 771-9930

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | AP 1262 | FL | Yes |

## Other

- **Enumeration date:** 05/07/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | C005L | BCBS \# | FL |