Organization
EDEN INTEGRATIVE MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAHLA MONTALVO L.AC. (OWNER)
(954) 906-2379
Entity
Organization
Contact information
Practice address
7401 WILES RD # 227, CORAL SPRINGS, FL 33067-2036
(954) 906-2379
Mailing address
4613 N UNIVERSITY DR UNIT 399, CORAL SPRINGS, FL 33067-4602
(646) 334-8818
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
07/26/2021
Last updated
07/30/2021
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