# DIVINE ACUPUNCTURE AND WELLNESS LLC

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

## Provider details

- **NPI number:** 1164284618
- **Authorized official:** KASSANDRA SOROKACH L. AC (OWNER, ACUPUNCTURIST)
- **Authorized official phone:** (352) 603-7763

## Contact information

- **Practice address:** 1135 W C 48, BUSHNELL, FL 33513-8971
- **Practice address phone:** (352) 603-0333
- **Mailing address:** 9479 CR 735, WEBSTER, FL 33597-4043
- **Mailing address phone:** (352) 603-7763

## Taxonomy

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

## Other

- **Enumeration date:** 01/29/2024
- **Last updated:** 07/14/2025
