Provider Demographics
NPI:1992138515
Name:HARRIS, ROSEMARY LANG (LIC ACUPUNCTURIST)
Entity type:Individual
Prefix:DR
First Name:ROSEMARY
Middle Name:LANG
Last Name:HARRIS
Suffix:
Gender:F
Credentials:LIC ACUPUNCTURIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8613 BUCKSKIN MNR
Mailing Address - Street 2:
Mailing Address - City:COOPER CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33328-8664
Mailing Address - Country:US
Mailing Address - Phone:305-409-5804
Mailing Address - Fax:
Practice Address - Street 1:2700 SW 3RD AVE
Practice Address - Street 2:SUITE 2A
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33129-2331
Practice Address - Country:US
Practice Address - Phone:305-409-5804
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-19
Last Update Date:2013-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist