Organization
ABUNDANT SPLENDOUR INCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DENISE DOUGLAS A.P (OWNER)
(954) 907-9787
Entity
Organization
Contact information
Practice address
1732 NE 26TH ST, 202, WILTON MANORS, FL 33305-1413
(954) 907-9787
Mailing address
1732 NE 26TH ST, 202, WILTON MANORS, FL 33305-1413
(954) 907-9787
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP2412
FL
Other
Enumeration date
04/12/2012
Last updated
04/12/2012
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