Organization
CLANCY ACUPUNCTURE & WELLNESS CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELODY CLANCY DOM, MAC, AP (ACUPUNCTURE PHYSICIAN)
(863) 441-4737
Entity
Organization
Contact information
Practice address
523 W INTERLAKE BLVD, LAKE PLACID, FL 33852-0703
(863) 441-4737
Mailing address
523 W INTERLAKE BLVD, LAKE PLACID, FL 33852-0703
(863) 441-4737
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP2422
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP2422
DEPARTMENT OF HEALTH
FL
Enumeration date
07/07/2016
Last updated
07/07/2016
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