Organization
TRADITIONAL ACUPUNCTURE SERVICES,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANDRA MORA-VIERA DOM, MD (COLOMBIA) (OWNER/MANAGER/ACUPUNCTURE PHYSICIAN)
(954) 200-4587
Entity
Organization
Contact information
Practice address
15800 PINES BLVD, SUITE 329, PEMBROKE PINES, FL 33027-1212
(954) 200-4587
Mailing address
15800 PINES BLVD, SUITE 329, PEMBROKE PINES, FL 33027-1212
(954) 200-4587
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
2891
FL
Other
Enumeration date
11/24/2010
Last updated
04/02/2013
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