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Organization

ACUSPA, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TAMMY LEE DIPPENWORTH LIC. ACUPUNCTURISTS (PRESIDENT)
(321) 303-5946
Entity
Organization

Contact information

Practice address
3722 S CONWAY RD, ORLANDO, FL 32812-7608
(321) 303-5946
(407) 816-8797
Mailing address
3722 S CONWAY RD, ORLANDO, FL 32812-7608
(321) 303-5946
(407) 816-8797

Taxonomy

Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
AP2518
FL

Other

Enumeration date
02/21/2008
Last updated
02/19/2009
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