Organization
GLACIER BLUE ACUPUNCTURE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRICIA A BERETZ AP (ACUPUNCTURIST)
(617) 767-1125
Entity
Organization
Contact information
Practice address
7640 N WICKHAM RD STE 121, MELBOURNE, FL 32940-8147
(321) 222-3621
Mailing address
4900 MAYFLOWER ST, COCOA, FL 32927-3011
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
11/10/2025
Last updated
11/10/2025
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