Organization
WEST FLAGLER PAIN CARE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELODY WEI CHYUN CHUNG A.P. (PRESIDENT)
(305) 227-2485
Entity
Organization
Contact information
Practice address
8410 W FLAGLER ST, SUITE 208B, MIAMI, FL 33144-2092
(305) 227-2485
(305) 227-2596
Mailing address
8410 W FLAGLER ST, SUITE 208B, MIAMI, FL 33144-2092
(305) 227-2485
(305) 227-2596
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP123
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2196
HEALTH CARE CLINIC EXEMPTION
FL
Enumeration date
04/23/2010
Last updated
04/23/2010
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