Organization
GOLDEN MERIDIAN LLC
Active
Organization
GOLDEN MERIDIAN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOH YOUNG PARK AP, DOM (PRESIDENT/OWNER)
(813) 573-2756
Entity
Organization
Contact information
Practice address
17501 N DALE MABRY HWY # D, LUTZ, FL 33548-4521
(813) 573-2756
Mailing address
4627 BURKETT CIR, TAMPA, FL 33634-6207
(813) 573-2756
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
—
—
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
08/22/2024
Last updated
08/22/2024
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