Organization
LIVE WELL NATURAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IULIANA ANCA DOM, AP (OWNER)
(407) 739-7341
Entity
Organization
Contact information
Practice address
2909 W STATE ROAD 434 STE 121, LONGWOOD, FL 32779-4459
(407) 739-7341
Mailing address
2909 W STATE ROAD 434 STE 121, LONGWOOD, FL 32779-4459
(407) 739-7341
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
12/01/2015
Last updated
12/01/2015
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