Organization
BEAUTY AND WELLNESS MED SPA
Active
Parent organization
FD INTEGRATIVE CLINIC
Other names
FD INTEGRATIVE CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
FD INTEGRATIVE CLINIC
Authorized official
FREDDY DUQUE ACUPUNCTURE PHYSICIA (ACUPUNCTURIST)
(786) 547-2091
Entity
Organization
Contact information
Practice address
1470 NW 107TH AVE STE A, SWEETWATER, FL 33172-2734
(786) 547-2091
Mailing address
7044 NW 113TH PL, DORAL, FL 33178-4542
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP-3765
FL
Other
Enumeration date
08/23/2018
Last updated
08/23/2018
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