# FOUR WINDS ACUPUNCTURE

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

## Provider details

- **NPI number:** 1740429984
- **Authorized official:** JEAN S CARON DOM, AP, LMT (PRESIDENT)
- **Authorized official phone:** (386) 677-5400

## Contact information

- **Practice address:** 115 E GRANADA BLVD STE 1, ORMOND BEACH, FL 32176-6634
- **Practice address phone:** (386) 677-5400
- **Practice address fax:** (386) 677-5420
- **Mailing address:** 115 E GRANADA BLVD STE 1, ORMOND BEACH, FL 32176-6634
- **Mailing address phone:** (386) 677-5400
- **Mailing address fax:** (386) 677-5420

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | AP2427 | FL | Yes |
| 174400000X | Specialist | MA35023 | FL | — |

## Other

- **Enumeration date:** 02/11/2009
- **Last updated:** 02/23/2009