# SEA OF QI FAMILY MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** J BROADWELL INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1336507177
- **Legal business name:** J BROADWELL INC
- **Authorized official:** JENNIFER BROADWELL AP (PRESIDENT)
- **Authorized official phone:** (954) 684-7449

## Contact information

- **Practice address:** 5967 MICHAUX ST, BOCA RATON, FL 33433-7201
- **Practice address phone:** (954) 684-7449
- **Mailing address:** 900 N FEDERAL HWY, SUITE 110, BOCA RATON, FL 33432-2755

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | AP3041 | FL | Yes |

## Other

- **Enumeration date:** 02/08/2016
- **Last updated:** 02/08/2016
