Provider Demographics
| NPI: | 1154847903 |
|---|---|
| Name: | INNER HARMONICS ACUPUNCTURE, INC. |
| Entity type: | Organization |
| Organization Name: | INNER HARMONICS ACUPUNCTURE, INC. |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | ACUPUNCTURIST |
| Authorized Official - Prefix: | DR |
| Authorized Official - First Name: | LILY |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | TAN-PINDELL |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | AP |
| Authorized Official - Phone: | 954-649-5459 |
| Mailing Address - Street 1: | 9268 SANDY RUN RD |
| Mailing Address - Street 2: | |
| Mailing Address - City: | JUPITER |
| Mailing Address - State: | FL |
| Mailing Address - Zip Code: | 33478-6986 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 954-649-5459 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 1106 W INDIANTOWN RD STE 3 |
| Practice Address - Street 2: | |
| Practice Address - City: | JUPITER |
| Practice Address - State: | FL |
| Practice Address - Zip Code: | 33458-6807 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 954-649-5459 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2017-08-14 |
| Last Update Date: | 2017-08-14 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| FL | AP2177 | 171100000X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 171100000X | Other Service Providers | Acupuncturist | Group - Single Specialty |