# LONGEVITY ACUPUNCTURE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Longevity Wellness
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356797203
- **Authorized official:** CYNTHIA CLARK L.AC. (ACUPUNCTURIST)
- **Authorized official phone:** (941) 923-9355

## Contact information

- **Practice address:** 2106 BISPHAM RD, SARASOTA, FL 34231-5522
- **Practice address phone:** (941) 923-9355
- **Practice address fax:** (866) 670-1715
- **Mailing address:** 2106 BISPHAM RD, SARASOTA, FL 34231-5522
- **Mailing address phone:** (941) 923-9355
- **Mailing address fax:** (866) 670-1715

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | AP3067 | FL | Yes |

## Other

- **Enumeration date:** 05/10/2016
- **Last updated:** 05/10/2016