# REN 17 ACUPUNCTURE, CORP

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

## Provider details

- **NPI number:** 1689082869
- **Authorized official:** ADRIANA PATINO L. AC (PRESIDENT)
- **Authorized official phone:** (305) 439-2413

## Contact information

- **Practice address:** 747 PONCE DE LEON BLVD, SUITE 600, CORAL GABLES, FL 33134-2049
- **Practice address phone:** (305) 439-2413
- **Practice address fax:** (305) 447-6336
- **Mailing address:** 747 PONCE DE LEON BLVD, SUITE 600, CORAL GABLES, FL 33134-2049
- **Mailing address phone:** (305) 439-2413
- **Mailing address fax:** (305) 447-6336

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | AP3427 | FL | Yes |

## Other

- **Enumeration date:** 07/31/2014
- **Last updated:** 08/21/2019