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Organization
MACUPUNCTURE
Active
Organization
MACUPUNCTURE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MACIVOR D.O.M., A.P. (PRESIDENT/PHYSICIAN)
(407) 978-0997
Entity
Organization
Contact information
Practice address
222 W YAMATO RD STE 106-169, BOCA RATON, FL 33431-4704
(407) 978-0997
Mailing address
222 W YAMATO RD STE 106-169, BOCA RATON, FL 33431-4704
(407) 978-0997
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP1840
FL
Other
Enumeration date
03/16/2018
Last updated
03/16/2018
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