# SHANTI OM SPA

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

## Provider details

- **NPI number:** 1467863050
- **Authorized official:** MS. MARIA ELENA GEGUNDE (OWNER)
- **Authorized official phone:** (561) 243-3779

## Contact information

- **Practice address:** 321 NE 2ND AVE, DELRAY BEACH, FL 33444-3801
- **Practice address phone:** (561) 243-3779
- **Mailing address:** 321 NE 2ND AVE, DELRAY BEACH, FL 33444-3801
- **Mailing address phone:** (561) 243-3779

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | AP3327 | FL | Yes |

## Other

- **Enumeration date:** 05/16/2014
- **Last updated:** 05/16/2014