Organization
PENTHOUSE ACUPUNCTURE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MANOUCHEHR EGHBAL LAC (OWNER)
(407) 439-5078
Entity
Organization
Contact information
Practice address
407 CENTERPOINTE CIR, SUITE 1647, ALTAMONTE SPRINGS, FL 32701-3456
(407) 439-5078
(407) 264-6798
Mailing address
407 CENTERPOINTE CIR, SUITE 1647, ALTAMONTE SPRINGS, FL 32701-3456
(407) 439-5078
(407) 264-6798
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP2423
FL
Other
Enumeration date
08/26/2014
Last updated
08/26/2014
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