# INTEGRATIVE ACUPUNCTURE MEDICAL CLINIC LLC

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

## Provider details

- **NPI number:** 1639307150
- **Authorized official:** VICTOR A CUCARO AP (MGR)
- **Authorized official phone:** (727) 398-1861

## Contact information

- **Practice address:** 321 BOCA CIEGA DR, MADEIRA BEACH, FL 33708-2435
- **Practice address phone:** (727) 398-1861
- **Practice address fax:** (727) 398-1861
- **Mailing address:** 321 BOCA CIEGA DR, MADEIRA BEACH, FL 33708-2435
- **Mailing address phone:** (727) 398-1861
- **Mailing address fax:** (727) 398-1861

## Taxonomy

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

## Other

- **Enumeration date:** 06/23/2009
- **Last updated:** 06/23/2009