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Organization

EASTERN ACUPUNCTURE WILTON MANORS

Active
Parent organization
EASTERN ACUPUNCTURE AND WELLNESS
Organization subpart
Yes

Provider details

NPI number
Legal business name
EASTERN ACUPUNCTURE AND WELLNESS
Authorized official
JENNIFER CRUZ AP.DAOM (PHYSICIAN)
(954) 400-5044
Entity
Organization

Contact information

Practice address
1201 NE 26TH ST STE 106, WILTON MANORS, FL 33305-1206
(954) 400-5044
Mailing address
13224 W BROWARD BLVD, PLANTATION, FL 33325-2228
(954) 400-5504
(954) 400-5503

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1235397910
ACUPUNCTURIST
FL
Enumeration date
01/07/2022
Last updated
01/07/2022
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