Organization
CLASSICAL ORIENTAL MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NELYA DE BRUN (OWNER)
(561) 932-3905
Entity
Organization
Contact information
Practice address
3459 W WOOLBRIGHT RD, BOYNTON BEACH, FL 33436-7246
(561) 932-3905
Mailing address
3459 W WOOLBRIGHT RD, BOYNTON BEACH, FL 33436-7246
(561) 932-3905
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
AP2398
FL
Other
Enumeration date
01/24/2010
Last updated
06/18/2015
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