Organization
BODHI TRADITIONAL CHINESE MEDICINE INC
Active
Other names
Bodhi TCM
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREA IZQUIERDO LAC, DOM (DR. OF CHINESE MEDICINE)
(321) 312-0771
Entity
Organization
Contact information
Practice address
304 S HARBOR CITY BLVD STE 101, MELBOURNE, FL 32901-1382
(321) 312-0771
(352) 204-8490
Mailing address
304 S HARBOR CITY BLVD STE 101, MELBOURNE, FL 32901-1382
(321) 312-0771
(352) 204-8490
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP3822
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1972031169
PERSONAL NPI
—
Enumeration date
06/22/2017
Last updated
01/13/2026
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