# MINDY ROHRBACHER DBA RADIANT LIFE ACUPUNCTURE, LLC

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

## Provider details

- **NPI number:** 1356745624
- **Authorized official:** MINDY ROHRBACHER LMHC, AP (OWNER)
- **Authorized official phone:** (352) 362-7615

## Contact information

- **Practice address:** 3463 NW 13TH ST STE C, GAINESVILLE, FL 32609-2172
- **Practice address phone:** (352) 362-7615
- **Practice address fax:** (888) 837-2955
- **Mailing address:** 3463 NW 13TH ST STE C, GAINESVILLE, FL 32609-2172
- **Mailing address phone:** (352) 362-7615
- **Mailing address fax:** (888) 837-2955

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | AP3115 | FL | Yes |

## Other

- **Enumeration date:** 10/15/2014
- **Last updated:** 10/15/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1881872620 | PERSONAL NPI | — |
| 01 | — | C00LQ | FLORIDA BLUE | FL |
