Organization
SELF RENEWAL CONCEPTS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SALLY H TYGART AP (CEO)
(407) 375-4974
Entity
Organization
Contact information
Practice address
325 S ORLANDO AVE, SUITE 3-4, WINTER PARK, FL 32789-3608
(407) 375-4974
Mailing address
325 S ORLANDO AVE, SUITE 3-4, WINTER PARK, FL 32789-3608
(407) 375-4974
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP1252
FL
Other
Enumeration date
04/14/2015
Last updated
04/14/2015
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