Individual
JOANNA BOUTZOUKAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1761 ROYAL OAK PL W, DUNEDIN, FL 34698-2432
(727) 314-5365
Mailing address
1761 ROYAL OAK PL W, DUNEDIN, FL 34698-2432
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
3823
FL
Other
Enumeration date
03/29/2017
Last updated
04/27/2017
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