# ACUPUNCTURE & HOLISTIC HEALTH CENTER

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

## Provider details

- **NPI number:** 1356682793
- **Authorized official:** MR. MICHAEL KOWALSKI A.P. (PRESIDENT)
- **Authorized official phone:** (904) 296-9545

## Contact information

- **Practice address:** 4540 SOUTHSIDE BLVD STE 302, JACKSONVILLE, FL 32216-5488
- **Practice address phone:** (904) 296-9545
- **Practice address fax:** (904) 296-9547
- **Mailing address:** 4540 SOUTHSIDE BLVD STE 302, JACKSONVILLE, FL 32216-5488
- **Mailing address phone:** (904) 296-9545
- **Mailing address fax:** (904) 296-9547

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | AP 208 | FL | — |
| 171100000X | Acupuncturist | — | — | Yes |
| 208D00000X | General Practice Physician | ME113529 | FL | — |
| 225700000X | Massage Therapist | — | — | — |

## Other

- **Enumeration date:** 03/11/2013
- **Last updated:** 07/17/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1346488756 | INDIVIDUAL NPI | FL |