Organization
CLASSICAL ACUPUNCTURE CLINIC
Active
Parent organization
TRACY L KOZAK
Other names
Classical Acupuncture Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRACY L KOZAK
Authorized official
TRACY L KOZAK LAC (OWNER)
(904) 806-3441
Entity
Organization
Contact information
Practice address
260 PASEO REYES DR, SAINT AUGUSTINE, FL 32095-8462
(904) 806-3441
(904) 592-5370
Mailing address
260 PASEO REYES DR, SAINT AUGUSTINE, FL 32095-8462
(904) 806-3441
(904) 592-5370
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
05/20/2019
Last updated
09/07/2020
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