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 |