# 100 PHYSICIANS MEDICINE, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1407508930
- **Authorized official:** DR. MIGUEL J DE PUIGDORFILA DOM (MANAGING DIRECTOR)
- **Authorized official phone:** (505) 900-1476

## Contact information

- **Practice address:** 13721 N US HIGHWAY 441 STE 2, LADY LAKE, FL 32159-8910
- **Practice address phone:** (352) 254-5544
- **Mailing address:** 17495 SE 74TH RAES HALL AVE, THE VILLAGES, FL 32162-5352
- **Mailing address phone:** (505) 900-1476

## Taxonomy

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

## Other

- **Enumeration date:** 01/26/2022
- **Last updated:** 01/26/2022