Organization
LOTUS ACUPUNCTURE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOA HO DOM (ACUPUNCTURIST)
(561) 635-9383
Entity
Organization
Contact information
Practice address
1909 LAKE BALDWIN LN, 208, ORLANDO, FL 32814-6927
(561) 635-9383
Mailing address
3727 N GOLDENROD RD, 104, WINTER PARK, FL 32792-8611
(321) 800-4455
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
AP 3029
FL
Other
Enumeration date
10/14/2014
Last updated
10/14/2014
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