Provider Demographics
NPI:1487171559
Name:ACUWELLNESS GROUP, LLC
Entity type:Organization
Organization Name:ACUWELLNESS GROUP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:AP
Authorized Official - Phone:561-704-7328
Mailing Address - Street 1:1209 MAIN ST STE 104
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-5244
Mailing Address - Country:US
Mailing Address - Phone:561-704-7328
Mailing Address - Fax:
Practice Address - Street 1:1209 MAIN ST
Practice Address - Street 2:#104
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458
Practice Address - Country:US
Practice Address - Phone:561-557-6556
Practice Address - Fax:561-658-5830
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-29
Last Update Date:2017-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty