Organization
ETERNAL ACUPUNCTURE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KORNELIA ANNA VITEZ L.AC., DIPL.O.M. (OWNER)
(561) 706-2642
Entity
Organization
Contact information
Practice address
2061 NW 2ND AVE, SUITE 208, BOCA RATON, FL 33431-6776
(561) 706-2642
Mailing address
2825 N CLEARBROOK CIR, DELRAY BEACH, FL 33445-4564
(561) 452-6645
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP3755
FL
Other
Enumeration date
03/16/2017
Last updated
03/16/2017
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