Organization
GST NATURAL HERBS AND ACUPUNCTURE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEYI LIAO DOM (DOCTOR OF ORIENTAL MEDICINCE)
(786) 972-2416
Entity
Organization
Contact information
Practice address
317 NE 167TH ST, NORTH MIAMI BEACH, FL 33162-2304
(305) 493-4555
(305) 493-4555
Mailing address
317 NE 167TH ST, NORTH MIAMI BEACH, FL 33162-2304
(305) 493-4555
(305) 493-4555
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
AP965
FL
Other
Enumeration date
03/24/2015
Last updated
03/24/2015
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