Organization
FOUR WINDS ACUPUNCTURE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN S CARON DOM, AP, LMT (PRESIDENT)
(386) 677-5400
Entity
Organization
Contact information
Practice address
115 E GRANADA BLVD STE 1, ORMOND BEACH, FL 32176-6634
(386) 677-5400
(386) 677-5420
Mailing address
115 E GRANADA BLVD STE 1, ORMOND BEACH, FL 32176-6634
(386) 677-5400
(386) 677-5420
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP2427
FL
174400000X
Specialist
MA35023
FL
Other
Enumeration date
02/11/2009
Last updated
02/23/2009
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