Organization
ORLANDO ALTERNATIVE HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN A KUKOR AP (CEO)
(703) 898-7280
Entity
Organization
Contact information
Practice address
1617 HILLCREST ST, ORLANDO, FL 32803-4809
(703) 898-7280
Mailing address
32 N HYER AVE, ORLANDO, FL 32801-2928
(703) 898-7280
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1922414077
171100000X
FL
Enumeration date
02/21/2019
Last updated
02/21/2019
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