# SPA LONGEVITA ACUPUNCTURE & HERBAL MEDICINE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1144698713
- **Authorized official:** MS. BROOKE E HIGGINIS DO (OWNER)
- **Authorized official phone:** (440) 440-3990

## Contact information

- **Practice address:** 3730 AVALON PARK BLVD E \# 8, ORLANDO, FL 32828-4805
- **Practice address phone:** (407) 440-3990
- **Mailing address:** 3730 AVALON PARK BLVD E \# 8, ORLANDO, FL 32828-4805
- **Mailing address phone:** (407) 440-3990

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | AP2936 | FL | Yes |

## Other

- **Enumeration date:** 09/12/2015
- **Last updated:** 09/12/2015