Organization
LIVING WELL ACUPUNCTURE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REYNA Q BRAGG DOM AP (DOM AP)
(941) 301-6940
Entity
Organization
Contact information
Practice address
3653 CORTEZ RD W STE 120, BRADENTON, FL 34210-3168
(941) 301-6940
Mailing address
3653 CORTEZ RD W STE 120, BRADENTON, FL 34210-3168
(941) 301-6940
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
3445
FL
Other
Enumeration date
05/13/2014
Last updated
09/26/2014
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