Organization
NORTHWOOD MEDICAL CENTER, PA
Active
Other names
Countryside Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL ANN BATES LIC ACU, AP, DOM (OWNER)
(727) 724-0488
Entity
Organization
Contact information
Practice address
3023 EASTLAND BLVD, H105, CLEARWATER, FL 33761-4106
(727) 724-0488
(727) 724-0489
Mailing address
3023 EASTLAND BLVD, H105, CLEARWATER, FL 33761-4106
(727) 724-0488
(727) 724-0489
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP000344
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1336330240
NPI AS SOLE PROP.
FL
Enumeration date
11/12/2011
Last updated
11/12/2011
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