Organization
SPA LONGEVITA ACUPUNCTURE & HERBAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BROOKE E HIGGINIS DO (OWNER)
(440) 440-3990
Entity
Organization
Contact information
Practice address
3730 AVALON PARK BLVD E # 8, ORLANDO, FL 32828-4805
(407) 440-3990
Mailing address
3730 AVALON PARK BLVD E # 8, ORLANDO, FL 32828-4805
(407) 440-3990
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP2936
FL
Other
Enumeration date
09/12/2015
Last updated
09/12/2015
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