# TAI TRADITIONAL CHINESE MEDICAL CENTER.LLC

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

## Provider details

- **NPI number:** 1215325196
- **Authorized official:** DR. TAI FANG (A.P)
- **Authorized official phone:** (954) 632-5818

## Contact information

- **Practice address:** 14921SW 15TH ST, PEMBROKE PINES, FL 33027
- **Practice address phone:** (954) 632-5818
- **Mailing address:** 14921SW 15TH ST, PEMBROKE PINES, FL 33027

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | AP3558 | FL | Yes |

## Other

- **Enumeration date:** 12/31/2014
- **Last updated:** 12/31/2014