Provider Demographics
NPI:1194049593
Name:ACUPUNCTURE HEALTH CENTER LLC
Entity type:Organization
Organization Name:ACUPUNCTURE HEALTH CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MEHRAFROUZ
Authorized Official - Middle Name:
Authorized Official - Last Name:FORADI
Authorized Official - Suffix:
Authorized Official - Credentials:AP
Authorized Official - Phone:321-662-2632
Mailing Address - Street 1:1151 BLACKWOOD AVE
Mailing Address - Street 2:STE 110
Mailing Address - City:OCOEE
Mailing Address - State:FL
Mailing Address - Zip Code:34761-4519
Mailing Address - Country:US
Mailing Address - Phone:321-662-2632
Mailing Address - Fax:
Practice Address - Street 1:1151 BLACKWOOD AVE
Practice Address - Street 2:STE 110
Practice Address - City:OCOEE
Practice Address - State:FL
Practice Address - Zip Code:34761-4519
Practice Address - Country:US
Practice Address - Phone:321-662-2632
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-15
Last Update Date:2010-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP 2794171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty