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Organization
QUAN YIN MEDICAL CENTER, PA
Active
Organization
QUAN YIN MEDICAL CENTER, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT GASTON JR. O.M.D., A.P. (PRESIDENT)
(305) 758-7011
Entity
Organization
Contact information
Practice address
217 NE 97TH ST, MIAMI SHORES, FL 33138-2403
(305) 758-7011
Mailing address
217 NE 97TH ST, MIAMI SHORES, FL 33138-2403
(305) 758-7011
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP-1020
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP1020
ACUPUNCTURE LICENSE
FL
Enumeration date
07/01/2015
Last updated
07/01/2015
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