Organization
PORT ORANGE ACUPUNCTURE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEAGHAN E PHILLIPS A.P. (OWNER)
(386) 314-3959
Entity
Organization
Contact information
Practice address
100 CESSNA BLVD, SUITE B, PORT ORANGE, FL 32128-6969
(386) 761-8818
Mailing address
100 CESSNA BLVD, SUITE B, PORT ORANGE, FL 32128-6969
(386) 761-8818
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
AP3008
FL
261Q00000X
Clinic/Center
MA38975
FL
Other
Enumeration date
08/15/2012
Last updated
05/04/2017
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