Provider Demographics
NPI:1396067104
Name:MERIDIAN ACUPUNCTURE CENTER OF FLORIDA, P.A.
Entity type:Organization
Organization Name:MERIDIAN ACUPUNCTURE CENTER OF FLORIDA, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:J
Authorized Official - Last Name:SASSANO
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:727-781-6747
Mailing Address - Street 1:5012 KILKENNEY WAY
Mailing Address - Street 2:
Mailing Address - City:OLDSMAR
Mailing Address - State:FL
Mailing Address - Zip Code:34677-5104
Mailing Address - Country:US
Mailing Address - Phone:727-771-1801
Mailing Address - Fax:727-772-9612
Practice Address - Street 1:36472 US HIGHWAY 19 N
Practice Address - Street 2:
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34684-1330
Practice Address - Country:US
Practice Address - Phone:727-781-6747
Practice Address - Fax:727-772-9612
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-20
Last Update Date:2010-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS5374261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care