Organization
CLINIC VIDA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA BARCUS L.AP, DOM, BSPH, MOA (ACUPUNCTURE PHYSICIAN, DOCTOR OF OR)
(941) 879-7388
Entity
Organization
Contact information
Practice address
73 S PALM AVE, SUITE 223, SARASOTA, FL 34236-5638
(941) 879-7388
Mailing address
73 S PALM AVE, SUITE 223, SARASOTA, FL 34236-5638
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP3476
FL
174H00000X
Health Educator
AP3476
FL
175L00000X
Homeopath
AP3476
FL
Other
Enumeration date
01/27/2017
Last updated
03/18/2017
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