Organization
CLASSICAL HERBS AND ACUPUNCTURE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN COOK AP (OWNER)
(305) 665-9711
Entity
Organization
Contact information
Practice address
9655 S DIXIE HWY, SUITE 204, PINECREST, FL 33156-2813
(305) 665-9711
Mailing address
9655 S DIXIE HWY, SUITE 204, PINECREST, FL 33156-2813
(305) 665-9711
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
AP974
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C0774
BCBS
FL
01
—
C7258
BCBS
FL
Enumeration date
04/03/2012
Last updated
04/03/2012
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