Organization
JADE WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZIANE LARSEN NASCIMENTO LAC (ACUPUNCTURIST/OWNER)
(305) 332-4244
Entity
Organization
Contact information
Practice address
2717 E OAKLAND PARK BLVD STE 201, FORT LAUDERDALE, FL 33306-1663
(305) 332-4244
Mailing address
2717 E OAKLAND PARK BLVD STE 201, FORT LAUDERDALE, FL 33306-1663
(305) 332-4244
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP3013
FL
Other
Enumeration date
10/10/2016
Last updated
10/10/2016
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