# ETERNAL ACUPUNCTURE LLC

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

## Provider details

- **NPI number:** 1295276756
- **Authorized official:** MRS. KORNELIA ANNA VITEZ L.AC., DIPL.O.M. (OWNER)
- **Authorized official phone:** (561) 706-2642

## Contact information

- **Practice address:** 2061 NW 2ND AVE, SUITE 208, BOCA RATON, FL 33431-6776
- **Practice address phone:** (561) 706-2642
- **Mailing address:** 2825 N CLEARBROOK CIR, DELRAY BEACH, FL 33445-4564
- **Mailing address phone:** (561) 452-6645

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | AP3755 | FL | Yes |

## Other

- **Enumeration date:** 03/16/2017
- **Last updated:** 03/16/2017
