Individual
RENE MICHAEL NG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DOM, L.AC, AP
Contact information
Practice address
2650 BAHIA VISTA ST, SUITE 301, SARASOTA, FL 34239-2635
(941) 773-5156
Mailing address
1624 BURGOS DR, SARASOTA, FL 34238-2713
(941) 773-5156
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP2463
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12911
STATE LICENSE
CA
01
—
AP 2463
STATE LICENSE
FL
Enumeration date
02/05/2008
Last updated
06/19/2013
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