# EDEN INTEGRATIVE MEDICINE

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

## Provider details

- **NPI number:** 1891468054
- **Authorized official:** DR. MAHLA MONTALVO L.AC. (OWNER)
- **Authorized official phone:** (954) 906-2379

## Contact information

- **Practice address:** 7401 WILES RD \# 227, CORAL SPRINGS, FL 33067-2036
- **Practice address phone:** (954) 906-2379
- **Mailing address:** 4613 N UNIVERSITY DR UNIT 399, CORAL SPRINGS, FL 33067-4602
- **Mailing address phone:** (646) 334-8818

## Taxonomy

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

## Other

- **Enumeration date:** 07/26/2021
- **Last updated:** 07/30/2021