# CLANCY ACUPUNCTURE & WELLNESS CLINIC

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

## Provider details

- **NPI number:** 1669824249
- **Authorized official:** MELODY CLANCY DOM, MAC, AP (ACUPUNCTURE PHYSICIAN)
- **Authorized official phone:** (863) 441-4737

## Contact information

- **Practice address:** 523 W INTERLAKE BLVD, LAKE PLACID, FL 33852-0703
- **Practice address phone:** (863) 441-4737
- **Mailing address:** 523 W INTERLAKE BLVD, LAKE PLACID, FL 33852-0703
- **Mailing address phone:** (863) 441-4737

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | AP2422 | FL | Yes |

## Other

- **Enumeration date:** 07/07/2016
- **Last updated:** 07/07/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | AP2422 | DEPARTMENT OF HEALTH | FL |