# SOARING CRANE ACUPUNCTURE AND HERBAL MEDICINE, LLC

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

## Provider details

- **NPI number:** 1124443130
- **Authorized official:** TERESA RENFROE DOM, AP (OWNER)
- **Authorized official phone:** (813) 770-6225

## Contact information

- **Practice address:** 3715 W HORATIO ST, TAMPA, FL 33609-3917
- **Practice address phone:** (813) 770-6225
- **Mailing address:** 4003 W SAN RAFAEL ST, TAMPA, FL 33629-5733
- **Mailing address phone:** (813) 770-6225

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | AP3367 | FL | Yes |

## Other

- **Enumeration date:** 02/27/2014
- **Last updated:** 02/27/2014