# HUMBLE BUDDHA, INC.

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

## Provider details

- **NPI number:** 1871069146
- **Authorized official:** MISTY DAVIS (OWNER)
- **Authorized official phone:** (954) 909-4923

## Contact information

- **Practice address:** 3305 NE 33RD ST, FORT LAUDERDALE, FL 33308-7109
- **Practice address phone:** (954) 909-4923
- **Mailing address:** 3305 NE 33RD ST, FORT LAUDERDALE, FL 33308-7109
- **Mailing address phone:** (954) 909-4923

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | — | — | Yes |
| 225700000X | Massage Therapist | — | — | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | — | — |

## Other

- **Enumeration date:** 10/15/2018
- **Last updated:** 10/15/2018