Organization
FAMILY TREE ACUPUNCTURE PL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORGE ENRIQUE MEJIA AP, DOM (OWNER)
(386) 944-5855
Entity
Organization
Contact information
Practice address
112 ORANGE AVE, SUITE 204, DAYTONA BEACH, FL 32114-4338
(386) 944-5855
Mailing address
1334 FLORENCE CT, HOLLY HILL, FL 32117-2310
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP3134
FL
Other
Enumeration date
04/18/2013
Last updated
04/18/2013
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