# UNIFIED EARTH MEDICINE

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

## Provider details

- **NPI number:** 1851976823
- **Authorized official:** MR. RICARDO VILLALBA LAC (OWNER)
- **Authorized official phone:** (954) 405-0779

## Contact information

- **Practice address:** 1825 NE 26TH AVE APT 2, FORT LAUDERDALE, FL 33305-3560
- **Practice address phone:** (954) 405-0779
- **Mailing address:** 1825 NE 26TH AVE APT 2, FORT LAUDERDALE, FL 33305-3560
- **Mailing address phone:** (954) 405-0779

## Taxonomy

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

## Other

- **Enumeration date:** 03/11/2021
- **Last updated:** 03/11/2021