# SPARK ACUPUNCTURE LLC

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

## Provider details

- **NPI number:** 1255734216
- **Authorized official:** MARK HOGAN (ACUPUNCTURISTY)
- **Authorized official phone:** (216) 973-4957

## Contact information

- **Practice address:** 4210 KENT DR, LARGO, FL 33774-1017
- **Practice address phone:** (216) 973-4957
- **Mailing address:** 4210 KENT DR, LARGO, FL 33774-1017

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | AP3429 | FL | Yes |

## Other

- **Enumeration date:** 10/06/2014
- **Last updated:** 10/06/2014