Organization
SOURCE POINT ACUPUNCTURE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLY RUEL AP (PRESIDENT)
(904) 859-5333
Entity
Organization
Contact information
Practice address
797 MAYPORT RD, ATLANTIC BEACH, FL 32233-3425
(904) 859-5333
Mailing address
27 ARBOR CLUB DR UNIT 216, PONTE VEDRA BEACH, FL 32082-2605
(904) 859-5333
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
AP2548
FL
Other
Enumeration date
08/27/2009
Last updated
08/27/2009
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