# PATRIOT HOLISTIC MEDICAL SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Patriot Holistic Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457826695
- **Authorized official:** HECTOR E RODRIGUEZ (SOLE MBR)
- **Authorized official phone:** (305) 677-6498

## Contact information

- **Practice address:** 10795 NW 50TH ST APT 308, DORAL, FL 33178-3972
- **Practice address phone:** (305) 677-6498
- **Mailing address:** 10795 NW 50TH ST APT 308, DORAL, FL 33178-3972
- **Mailing address phone:** (305) 677-6498

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | — | NULL | Yes |
| 171100000X | Acupuncturist | — | — | Yes |
| 225700000X | Massage Therapist | — | NULL | — |
| 225700000X | Massage Therapist | — | — | — |

## Other

- **Enumeration date:** 10/03/2018
- **Last updated:** 10/03/2018