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Organization
NORTHWOOD MEDICAL CENTER, PA
Active
Organization
NORTHWOOD MEDICAL CENTER, PA
Active
Other names
Countryside Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL ANN BATES LIC ACU, AP, DOM (OWNER)
(727) 724-0488
Entity
Organization
Contact information
Practice address
3023 EASTLAND BLVD, H105, CLEARWATER, FL 33761-4106
(727) 724-0488
(727) 724-0489
Mailing address
3023 EASTLAND BLVD, H105, CLEARWATER, FL 33761-4106
(727) 724-0488
(727) 724-0489
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP000344
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1336330240
NPI AS SOLE PROP.
FL
Enumeration date
11/12/2011
Last updated
11/12/2011
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