Organization
SPARK ACUPUNCTURE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK HOGAN (ACUPUNCTURISTY)
(216) 973-4957
Entity
Organization
Contact information
Practice address
4210 KENT DR, LARGO, FL 33774-1017
(216) 973-4957
Mailing address
4210 KENT DR, LARGO, FL 33774-1017
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP3429
FL
Other
Enumeration date
10/06/2014
Last updated
10/06/2014
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