# PENTHOUSE ACUPUNCTURE LLC

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

## Provider details

- **NPI number:** 1588064778
- **Authorized official:** MR. MANOUCHEHR EGHBAL LAC (OWNER)
- **Authorized official phone:** (407) 439-5078

## Contact information

- **Practice address:** 407 CENTERPOINTE CIR, SUITE 1647, ALTAMONTE SPRINGS, FL 32701-3456
- **Practice address phone:** (407) 439-5078
- **Practice address fax:** (407) 264-6798
- **Mailing address:** 407 CENTERPOINTE CIR, SUITE 1647, ALTAMONTE SPRINGS, FL 32701-3456
- **Mailing address phone:** (407) 439-5078
- **Mailing address fax:** (407) 264-6798

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | AP2423 | FL | Yes |

## Other

- **Enumeration date:** 08/26/2014
- **Last updated:** 08/26/2014