Organization
QUAN YIN MEDICAL CENTER, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT GASTON JR. O.M.D., A.P. (PRESIDENT)
(305) 758-7011
Entity
Organization
Contact information
Practice address
217 NE 97TH ST, MIAMI SHORES, FL 33138-2403
(305) 758-7011
Mailing address
217 NE 97TH ST, MIAMI SHORES, FL 33138-2403
(305) 758-7011
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP-1020
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP1020
ACUPUNCTURE LICENSE
FL
Enumeration date
07/01/2015
Last updated
07/01/2015
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