Organization
SHARON NATURAL MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPHINE CHAN DOM, AP (OWNER)
(407) 758-0179
Entity
Organization
Contact information
Practice address
924 N MAGNOLIA AVE STE 332, ORLANDO, FL 32803-3852
(407) 758-0179
Mailing address
1937 CORNER GLEN DR, ORLANDO, FL 32820-1952
(407) 758-0179
(407) 602-0942
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107565300
—
FL
Enumeration date
01/18/2017
Last updated
07/16/2024
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