# LIFETREE ACUPUNCTURE AND HERBAL MEDICINE

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

## Provider details

- **NPI number:** 1770877839
- **Authorized official:** MR. JUNGHYUN PARK (OWNER)
- **Authorized official phone:** (305) 772-4524

## Contact information

- **Practice address:** 2580 N UNIVERSITY DR, SUNRISE, FL 33322-3055
- **Practice address phone:** (305) 772-4524
- **Mailing address:** 12920 SW 83RD CT, MIAMI, FL 33156-5927
- **Mailing address phone:** (305) 256-9424

## Taxonomy

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

## Other

- **Enumeration date:** 06/07/2011
- **Last updated:** 06/07/2011