Organization
ACUPUNCTURE BY ANDREA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANDREA VENUS DANTI LAC, LMT (OWNER/PRACTITIONER)
(904) 234-3964
Entity
Organization
Contact information
Practice address
13400 SUTTON PARK DR S STE 1603, JACKSONVILLE, FL 32224-0237
(904) 234-3964
Mailing address
13400 SUTTON PARK DR S STE 1603, JACKSONVILLE, FL 32224-0237
(904) 234-3964
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3264
ACUPUNCTURE LICENSE
FL
Enumeration date
11/21/2018
Last updated
03/03/2020
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